Online Forms
At Cleveland Eyecare, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.
- You will need AdobeReader® to download and complete the forms. Click here to download.
- Download the required form(s). Print out the form(s) and complete the required information.
- Fax your printed and completed form(s) to our office or bring them with you to your appointment.
New Patient Health History Form – Required
Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.
LOCATION
Cleveland Eyecare, OD, PA
Address
422 West Warren St.
Shelby, NC 28150
422 West Warren St.
Shelby, NC 28150
Monday
08:30 am - 05:00 pm
Closed for lunch 12-1pm
Closed for lunch 12-1pm
Tuesday
08:30 am - 05:00 pm
Closed for lunch 12-1pm
Closed for lunch 12-1pm
Wednesday
08:30 am - 05:00 pm
Closed for lunch 12-1pm
Closed for lunch 12-1pm
Thursday
08:30 am - 05:00 pm
Closed for lunch 12-1pm
Closed for lunch 12-1pm
Friday
08:30 am - 04:00 pm
Closed for lunch 12-1pm
Closed for lunch 12-1pm
Saturday
By Appointment Only
Sunday
Closed
