Online Forms

At Lerner Vision Care, LLC, 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.

  • Download the required form(s). Please, print out the form(s) and complete the required information.
  • Fax your completed form(s) to our office at 301-913-9264, or scan and email to [email protected] 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



Location

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Hours of Operation

Monday

Closed for lunch 1pm - 2pm

10:30 am - 5:30 pm

Tuesday

Closed for lunch 1pm - 2pm

10:30 am - 5:30 pm

Wednesday

Closed

Thursday

Closed for lunch 1pm - 2pm

10:30 am - 5:30 pm

Friday

Closed for lunch 1pm - 2pm

10:30 am - 5:30 pm

Saturday

Closed for lunch 12:30 pm - 1:30 pm

10:00 am - 4:00 pm

Sunday

Closed

Monday
Closed for lunch 1pm - 2pm 10:30 am - 5:30 pm
Tuesday
Closed for lunch 1pm - 2pm 10:30 am - 5:30 pm
Wednesday
Closed
Thursday
Closed for lunch 1pm - 2pm 10:30 am - 5:30 pm
Friday
Closed for lunch 1pm - 2pm 10:30 am - 5:30 pm
Saturday
Closed for lunch 12:30 pm - 1:30 pm 10:00 am - 4:00 pm
Sunday
Closed