St. Charles Eye Center
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patient  paperwork

For your convenience you may fill out and bring a print out of the completed form to your appointment.  When checking in just give it to one of our staff.  We recommend new patients and established patients with new insurance or change of address, phone number to do so.  This saves time and makes our office more efficient.
New Patient Form
File Size: 2247 kb
File Type: pdf
Download File

Contact Us
1005 Fairgrounds Road
Saint Charles, MO 63301
Phone: 636-946-6986
Fax: (636)916-4627
email: scec1005@att.net

Office Hours 
Mon    8:00 am - 5:00 pm
Tue     8:00 am - 5:00 pm
Wed    8:00 am - 5:00 pm
Thu     8:00 am - 5:00 pm
Fri       8:00 am - 5:00 pm
Sat      8:00 am - Noon
*Our phones are open from 7:45 am- at least 4:30
​

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  • Home
  • Our Practice
  • Our Services
  • Eye Care Articles
  • Location
  • Patient Paperwork