WARNING

You are using an outdated browser. Please upgrade your browser to improve your experience.

Close [x]
770.474.1237 H
H

770.474.1237

Online Forms

Patient Forms
 

Patient Registration Form

Please fill out and print this form and bring it with you to your appointment, as well as your insurance cards and picture ID.

Download Form


Electronic Web Registration

DePoe Eye Clinic has gone paperless!! Please use this link to electronically submit your demographic, insurance and medical history information. Web registration will significantly reduce your wait time. Thank you for helping us better serve our patients.

https://www.compulinkadvantageweb.com/register/accountappts/index/5603


Note: These files are in PDF format. If you do not have Adobe® Reader®, you can download it for free by clicking here or on the Get Adobe Reader icon.

Office Hours

DayMorningAfternoon
Monday8:15 am5:30 pm
Tuesday8:15 am5:30 pm
Wednesday8:15 am5:30 pm
Thursday8:15 am5:30 pm
Friday8:15 am5:30 pm
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:15 am 8:15 am 8:15 am 8:15 am 8:15 am Closed Closed
5:30 pm 5:30 pm 5:30 pm 5:30 pm 5:30 pm Closed Closed