Patient Forms

For your convenience, we provide our Medical and Vision History Information form so you can fill it out before your first appointment. Simply click the button below to access a copy of the form that you can print out, complete, and bring with you to our office.

We can also provide you a copy of the form to fill out at the office if you wish.

Our practice also accepts most primary insurance provider.

File Size
Electronic Records Release Form
757.6 KB
Medical and Vision History Form
1.9 MB
HIPAA Signature Page
374.6 KB

Get In Touch

Open Hours

  • Monday 12:30pm – 6pm
  • Tuesday 9am – 5pm*
  • Wednesday 9am – 5pm*
  • Thursday 9am – 5pm*
  • Friday 9am – 4pm*

*Closed for lunch 11:30 – 12:30 Tuesday thru Friday*
Closed Weekends and Holidays


52883 N. Main Street
MattawanMI 49071


Emergency Call

Mattawan Family Eye Care