Patient Forms

Welcome to Illinois Eye Center! Upon your first visit with us, please complete the New Patient Forms prior to your arrival. This includes the HIPAA Release of Information and Authorization for Medical Benefits Forms. 

We’ve also included a Records Release form for your convenience. If your child will be attending an appointment without a parent or guardian, please compete the Consent for Treatment of a Minor form.

Lunch Closure

Illinois Eye Center’s Pekin office will be closed for lunch from 11:30 AM to 12:30 PM on Wednesday, September 18th. We will be open before and after this time. All other locations will remain open during their regular hours.

If you have any questions or if this closure may affect your needs, please contact us at 209-243-2400. Thank you for your understanding.