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.

Washington Office Closure - 05/15/2026

Illinois Eye Center’s Washington office will be closed on Friday, May 15. Our Peoria and Pekin locations will be open to serve you during normal business hours.

Late Office Openings - 05/19/2026

Illinois Eye Center clinics will open late on Tuesday, May 19th due to internal staff training.  The Peoria clinic will open at 9am and the East Peoria and Pekin clinics will open at 9:30am.

Please call us at 309-243-2400 with any questions.