512-259-8484

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Patient Forms

Because we know your time is valuable, please fill out these forms and bring them to the appointment with you. If you have any questions, fill out as much as you can and we will be happy to assist you when you arrive.

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Primary Correction


Patients Ocular History
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Family Ocular History
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Patient Medical History
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Family Medical History
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Social History

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Review of Systems

Are you currently experiencing problems with the following?

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  • “I have been going to Leander eye care along with my wife and four children for several years now. Dr. Prescott is very attentive, very personable, friendly (smiles alot) and professional. He listens very closely and tries to help save you money without compromising your vision care.”

  • “Our second year as a patient of Dr. Prescott. As always, the staff is friendly and very helpful.”

  • “Love this place! The doctor is very detailed and the staff is super friendly. I wouldn't go anywhere else for eye care!”

  • “The staff is always very helpful. They are welcoming from the moment you walk in the door and helpful and friendly all the way through checking out.”

1395 S. US Highway 183 #130 | Leander, Texas | Directions | 512-259-8484