Appointments & Forms

Thank You for Scheduling your annual eye exam with us at Lawrence Family Vision Clinic!
We would like your check-in experience to be thorough and as efficient as possible.
Please fill in these forms and bring them in 5 minutes before your scheduled exam.

Please remember 5 things for us:

- Come in 5 minutes earlier if you have the forms filled out, if not, come in 15 minutes earlier.
- Bring any Insurance cards and a photo ID
- Bring Current glasses or contacts you are wearing
- We collect co-pays up front. All fees are due at time of service. 
- Be prepared to have a thorough comprehensive exam catered to your unique needs!

Lawrence Family Vision Clinic Form Downloads

Patient Demographics and Medical History

Advance Beneficiary Notice of Non-coverage (ABN)

Consent for Release of Medical Information

Office Hours

  • Mon, Wed: 8:00 am - 7:00 pm
  • Tues, Thurs: 8:00 am - 6:00 pm

  • Fri: 8:00 am - 5:30 pm

  • Sat: 8:30 am - 12:00 pm

**Closed from 11:45 am - 1 pm on Mondays**

Languages Spoken: English & Spanish

Call Us

Phone: 785-749-2020

Toll Free: 877-828-3536