Online Forms

At Tiffin Eye Center, 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 will need AdobeReader® to download and complete the forms.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

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 have regarding your eye health or vision on the form.

Personal Information Form 

Download & Print Form

Medical History Form

Download & Print Form

Notice of Privacy Practices

Download & Print Form


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Locations

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Hours of Operation

Emergency appointments are available.

Tiffin Office

Monday:

8:00 am-12:00 pm

1:00 pm-5:00 pm

Tuesday:

8:00 am-12:00 pm

1:00 pm-5:00 pm

Wednesday:

8:00 am-12:00 pm

1:00 pm-5:00 pm

Thursday:

8:00 am-12:00 pm

1:00 pm-5:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed