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6843 North Oracle Road Tucson, AZ 85704
(520) 888-0099
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At Accent On Vision, 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 can fax your printed and completed form(s) to our office or bring them with you to your appointment. 
  • Forms will also be available upon arrival to your appointment.
  • Bringing in current glasses will be helpful to the doctors and staff. 
  • If a contact lens wearer, bringing in contact lens prescription will also be helpful. 

New Patient Health History Form 

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 you're have regarding your eye health or vision on the form.

Download & Print Form


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