Dry Eye Forms
HVC Dry Eye Questionnaire
If you are scheduled for a dry eye evaluation, please complete and submit the following form before your appointment. Thank you!
You may upload your completed form here:
Fairlawn Office
330-597-9456
- Monday 8:30 AM – 7:00pm
- Tuesday 8:30 AM – 5:00pm
- Wednesday 8:30 AM – 5:00pm
- Thursday 9:00 AM – 7:00pm
- Friday 8:30 AM – 5:00pm
- Saturday 8:30 AM – 1:30pm
- Sunday Closed
Green Office
(330) 899-0205
- Monday 9:00 AM – 7:00pm
- Tuesday 8:30 AM – 5:00pm
- Wednesday 8:30 AM – 5:00pm
- Thursday 8:30AM – 7:00pm
- Friday 8:30 AM – 5:00pm
- Saturday 8:30 AM – 1:30pm
- Sunday Closed
Newton Falls
(330) 597-9309
- Monday 9:00 AM – 7:00pm
- Tuesday 9:00 AM – 5:00pm
- Wednesday 8:30 AM – 5:00pm
- Thursday 9:00 AM – 5:00pm
- Friday 9:00 AM – 3:00pm
- Saturday 9:00 AM – 12:00pm (1st and 3rd Saturday of month only)
- Sunday Closed
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