Taylorville 217-824-4991

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Carlinville 217-854-3173

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Virden 217-965-3306

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Lincoln 217-732-9606

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Online Forms

At Advanced EyeCare, 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. Click here to download.
  • 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.

New Patient Health History Form – Required

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 your have regarding your eye health or vision on the form.

Download & Print Form


Download the Free AdobeReader®

Hours of Operation

Our Regular Schedule

Taylorville Office

Monday

8:00am-5:00pm

Tuesday

8:00am-5:00pm

Wednesday

8:00am-5:00pm

Thursday

8:00am-5:00pm

Friday

8:00am-5:00pm

Saturday

By Appountment Only

Sunday

Closed

Virden Office

Monday

8:30am-5:00pm

Tuesday

8:30am-5:00pm

Wednesday

8:30am-5:00pm

Thursday

8:30am-5:00pm

Friday

8:30am-5:00pm

Saturday

8:00am-12:00pm

Sunday

Closed

Carlinville Office

Monday

8:00am-5:00pm

Tuesday

8:00am-5:00pm

Wednesday

8:00am-5:00pm

Thursday

8:00am-5:00pm

Friday

8:00am-5:00pm

Saturday

8:00am-12:00pm

Sunday

Closed

Lincoln Office

Monday

9:00am-5:30pm

Tuesday

9:00am-5:30pm

Wednesday

9:00am-5:30pm

Thursday

9:00am-5:30pm

Friday

9:00am-5:30pm

Saturday

Closed

Sunday

Closed

Taylorville Office

Monday
8:00am-5:00pm
Tuesday
8:00am-5:00pm
Wednesday
8:00am-5:00pm
Thursday
8:00am-5:00pm
Friday
8:00am-5:00pm
Saturday
By Appountment Only
Sunday
Closed

Virden Office

Monday
8:30am-5:00pm
Tuesday
8:30am-5:00pm
Wednesday
8:30am-5:00pm
Thursday
8:30am-5:00pm
Friday
8:30am-5:00pm
Saturday
8:00am-12:00pm
Sunday
Closed

Carlinville Office

Monday
8:00am-5:00pm
Tuesday
8:00am-5:00pm
Wednesday
8:00am-5:00pm
Thursday
8:00am-5:00pm
Friday
8:00am-5:00pm
Saturday
8:00am-12:00pm
Sunday
Closed

Lincoln Office

Monday
9:00am-5:30pm
Tuesday
9:00am-5:30pm
Wednesday
9:00am-5:30pm
Thursday
9:00am-5:30pm
Friday
9:00am-5:30pm
Saturday
Closed
Sunday
Closed

Locations

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Contact Us

We look forward to hearing from you.