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Online Forms

At Yancey Eye Center, 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.

  • You will need AdobeReaderĀ® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

Patient History Form

Download & Print Form

Practice Policies

Medical Records Access Forms

Vision Vs. Medical Plans


Parental Authorization Form

Download & Print Form

Any child under the age of 18 must be accompanied by an adult and the adult must remain in the office with the child at all times.

If someone other than the parent will be bringing the child for their appointment a Parental Authorization Form must be filled out and signed by the parent.  Please click on the above link to print the form and complete. The adult bringing the child must present this form and identification in order for the child to be seen by the doctor.


Download the Free AdobeReaderĀ®

New patients receive 15% OFF first visit.

Excludes all vision and insurance plans. Sign-up using the form or call us at (912) 537-4400 to take advantage of this exclusive offer.

Office Hours

Our Regular Schedule

Monday:

8:00 am-12:00 pm

1:00 pm-5:00 pm

Tuesday:

8:00 am-12:00 pm

1:00 pm-5:00 pm

Wednesday:

8:00 am-12:00 pm

1:00 pm-5:00 pm

Thursday:

8:00 am-12:00 pm

1:00 pm-5:00 pm

Friday:

8:00 am-12:00 pm

1:00 pm-4:00 pm

Saturday:

Closed

Sunday:

Closed

Location

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Testimonials

Reviews From Our Satisfied Patients

  • "Yancey Eye Center is the best at what they do and make you feel right at home."
    John Doe Vidalia, GA
  • "Dr. Yancey and staff deliver the highest level of professionalism and customer care I have ever seen.We are very fortunate to have such a excellent center for our eye health care needs. Thank you and continue the great work!"
    Philip Sassos

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