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Primary EyeCare Associates
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      • Sidney, OH
      • Fort Loramie, OH
      • Troy, Ohio
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Patient Forms
At Primary EyeCare Associates, we are committed to providing personalized, high-quality eye care for you and your family. To ensure a smooth and efficient visit, please complete any necessary patient forms and bring them with you to your appointment.

Adult Patient Information Forms

Minor or Dependents Patient Information Forms

Patient Medical History Form

HIPAA Authorization Form

Sidney, OH



937-492-9197



937-492-7865



1086 Fairington Drive
Sidney, OH 45365



Mon: 9am-6:30pm
Tue: 7:30am-5pm
Wed: 9am-6:30pm
Thu: 7:30am-5pm
Fri: 7:30am-4:30pm
Sat: 8am-12pm*
Sun: Closed
*Open every other Saturday by appointment only

Contact us

Fort Loramie, OH



937-295-3307



937-821-4043



700 E Park Street
Fort Loramie, OH 45845



Mon: 10am-6:30pm
Tue: 8am-5pm
Wed: 10am-6:30pm
Thu: 8am-5pm
Fri: 8am-4:30pm
Sat: 8am-12pm*
Sun: Closed
*Open every other Saturday by appointment only

Contact us

Troy, OH



937-339-2115



937-339-2418



10 Dotcom Drive
Troy, OH 45373



Mon: 10am-6:30pm
Tue: 8am-5pm
Wed: 10am-6:30pm
Thu: 8am-5pm
Fri: 7:30am-4:30pm
Sat: 8am-12pm*
Sun: Closed
*Open every other Saturday by appointment only

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