Online Forms

Book Appointment

Your Time Is Valuable to Us

At River City Vision Center, we personalize our process to your needs while also ensuring your experience is quick, comprehensive, and comfortable!

Filling out the following forms prior to your appointment will help us get to work on supporting your family’s eyes as quickly as possible. If you have any questions or concerns, please feel free to contact us.

Online Forms

Please take a moment to download and fill out the following forms.

To access these forms, please ensure you also have AdobeReader installed on your device. You can download the AdobeReader application here.

You can provide your forms in 2 different ways:

  • Print the form, fill it out, and bring it with to your appointment
  • Print the form, fill it out, and fax it to our office prior to your appointment

New Patient Health History

This form will give us an overview of your personal health history, as well as any issues you may be experiencing with your eye health or vision.

Download Form

Take a look at what you can expect from your eye exam and the technology we use to support your eyes.

Fill Out Form

Our Locations

Our Address

  • 12961 N. Main St. Suite #203
  • Jacksonville, FL 32218

Contact Information

Our Address

  • 1075 Oakleaf Plantation Pkwy. Suite #300
  • Orange Park, FL 32065

Contact Information

Our Blog

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