HEMLER FAMILY EYE CARE
Give us a call:
​717-630-2922
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Patient Forms

To save time, please download, print and complete the below forms prior to your appointment. We look forward to serving you!

About Your Insurance
File Size: 39 kb
File Type: pdf
Download File

HIPAA
File Size: 55 kb
File Type: pdf
Download File

Medical History Questionnaire
File Size: 10 kb
File Type: pdf
Download File

Patient Vision Questionnaire
File Size: 43 kb
File Type: pdf
Download File

Patient Information
File Size: 44 kb
File Type: pdf
Download File

Request an Appointment
Contact Us
Hemler Family Eye Care
1201 West Elm Avenue
Suite 4
Hanover, PA 17331
Phone: 717-630-2922
Office Hours
Mon    8:00 am - 4:00 pm
Tue     11:00 am - 7:00 pm
Wed    8:00 am - 4:00 pm
Thu     11:00 am - 7:00 pm
Fri       8:00 am - 2:00 pm
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