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Online Forms

Legacy Eyecare Online Forms

At Legacy Eyecare, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s) and fill in the required information.

  • Fax or email us your completed form(s) or bring them with you to your appointment.

PDF File
Patient History Form
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Legacy Eyecare in Hensley, AR
All Eyecare Services

We offer a wide variety of eye care services to the Hensley community. Contact us with any questions about our services.

Legacy Eyecare in Hensley, AR
Keep In Touch

For non-urgent questions or to learn more about our services, contact us today!