EYE WAS FRAMED EYECARE
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Online Forms

Preparing For Your Appointment
At Eye Was Framed Eyecare, we are committed to making sure you are seeing and looking your best. There are a few things you can do to help us.
When you come in for your appointment, we also ask that you bring:
  •  Any prescription eyeglasses and sunglasses that you are currently using. This includes any glasses that you may be using for the computer, for school or work, for night driving, for crafts, hobbies, or sports, or as your emergency backup glasses. (You too, contact lens wearers.)
  • Your current contact lens Rx or your contact lens boxes
  • Your vision and medical insurance cards
  • Your previous exam records if your visual or health history is extensive

Taking advantage of our online patient forms also streamlines the scheduling and check-in process.

Online Patient Forms


Save time during your appointment by completing our patient forms online. 
Below, you'll see the login page. (If this is your first visit, we'll take a few seconds to help you create a login to our site).
Secure Online Patient Forms

Paper Forms

Though we encourage you to use our convenient online patient form above, you are welcome to download, print, and complete the below forms prior to your appointment. We look forward to seeing you!
Welcome Registration Form
File Size: 173 kb
File Type: pdf
Download File

Financial Responsibility Form
File Size: 15 kb
File Type: docx
Download File

HIPPA Privacy Form
File Size: 274 kb
File Type: pdf
Download File

Contact Lens Agreement
File Size: 89 kb
File Type: pdf
Download File

Contact Us
Phone: 708-460-2020
Fax: 708-460-2025
11319 W 143rd Street
Orland Park, IL 60467
Office Hours:
Monday     12:00 am to 7:00 pm
Tuesday     10:00 am to 2:00 pm
Thursday    10:00 am to 6:00 pm
Saturday     10:00 am to 2:00 pm
We are closed Wednesday, Friday, and Sunday

Although our hours may vary, we do our best to check our messages daily and respond within one business day.


Notice of Privacy Practices
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  • Home
  • Our Practice
    • Promotions
  • Services
    • Eye Care Articles
  • Patient Forms
  • Location
  • Order Contacts Online