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Patient Paperwork

Please bring the following items to your visit:

  • Drivers license

  • Insurance card (if any)

  • Current glasses 

  • Current glasses Rx

  • Current contact lens Rx

  • Patient paperwork see PDF below

New Patient Paperwork:

click on the attachment to download. Print the document and fill in all pages. If you have any questions you can always call us or ask us at the time of your visit.

Use this form for:

- New patient's only

- Comprehensive Eye Exam

- Contact Lens Fittings

- Eye health problems

Existing Patient Paperwork:

click on the attachment to download. Print the document and fill in all pages. If you have any questions you can always call us or ask us at the time of your visit.

Use this form for:

- Previous patient's only

- Comprehensive Eye Exam

- Contact lens fittings

- Eye health problems

Art For Eyes Optical Shop eyecare in Middleburg Fleming Island Orange Park Green Cove Springs St Augustine and the greater Jacksonville area. We provide Comprehensive Eye Exams, Glasses, Kid's Glasses, Sunglasses, Safety Glasses and other Eyewear needs.. We have an eye doctor optometrist on site right here at our Optical Shop & Eyecare Center. We also diagnose and treat eye disease like glaucoma cataracts eye injuries dry eyes blurry vision flashes and floaters Middleburg, Fleming Island, Orange Park, Green Cove, St Augustine Optical eye doctors near me eyecare 
 

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©2007-2025 Art for Eyes, Inc

Website Disclaimer:Please know that email communication via our website may not be done through a secure platform. Although it is unlikely, there is a possibility that information you include in your submission can be intercepted and read by parties other than the intended recipient. To protect your confidential information, please do not include personal identifying information such as your birth date or personal medical information in any emails or website submissions you send to us.

CONTACT US

P 904-644-8873

E INFO@ARTFOREYESOPTICAL.COM

2561 CR 220  MIDDLEBURG FL 32068

We moved just 8 minutes away from our previous location 

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