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Intake form

May 7, 2020adminEye Care Information

Welcome, we are excited to take care of your eye care needs. Due to the COVID outbreak, we have implemented several safety precautions to help keep you safe. At this time, we request that only the patient attend their appointment or one parent/guardian accompany one minor child. In order to limit a patient’s time in the office, we would like to ask you several intake questions ahead of time to better serve your needs. Please answer the following medical questions prior to your appointment.

 

  1. What brings you into the office (ie blurred vision at distance/near, need new glasses, out of contacts, etc)?
  2. Have you had any eye surgeries? If so, what surgeries and when? 
  3. Have you been diagnosed with any eye diseases? If so, what diseases? 
  4. What medical conditions have you been diagnosed with? 
  5. What current medications and eye medications are you taking?
  6. Is there any additional information you would like us to know in order to help you with your visual needs?
  7. Have you had symptoms or been exposed to COVID-19?

 

You may respond by replying to email westglen@wgeyecare.com, fax your responses to 913-962-2013 or phone in your responses prior to your appointment to 913-962-2010.

 

 WE REQUEST THAT YOU WEAR A MASK TO YOUR APPOINTMENT

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  • WestGlen Optometrist

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Proudly Serving Our Community

WestGlen serves the Shawnee community with pride. We recently received the Best of Shawnee 2015 award for eye care.
Click here to learn more.

Office Hours

Monday: 9:00am-6:00pm
Tues: 8:00am-5:00pm
Wed: 10:00am-6:00pm
Thurs: 8:00am-5:00pm
Friday: 9:00am-4:00pm
Sat: 9:00am-1:00pm


Schedule w/ Dr. Eric Beatty
(M/Tu/W/Th/Sat)

Schedule w/ Dr. Andrea Beatty
(M/W/F/Sat)

Payment Options

We accept payments in our office or over the phone using: In our office or over the phone – Cash, Check, Visa, Mastercard, and Debit Cards

Don't forget to use your:
Flexible Spending Plans
Health Savings Accounts (HSA)
Medical Savings Accounts (MSA)
Cafeteria Plans

All of the above plans can be used for all your eye care and eyewear needs, including eyeglasses, contact lenses, routine office visits and medical office visits.

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Westglen Eyecare


Location:
16202 Midland Dr.
Shawnee, KS 66217


Phone:
(913) 962 2010
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