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.

Schedule Change - Pekin Clinic

 Illinois Eye Center office in Pekin will be closed during the 12:00pm-1:00pm hour on Wednesday, June 19. This includes the Optical Department. Our Peoria and Washington clinic locations are open for walk-in optical services during this period. EyeCareTODAY is also available at our Peoria location for walk-in exams and urgent eye care.

4th of July Hours

Services at Illinois Eye Center on July 4th will be available by appointment only. Illinois Eye Center wishes you a happy and safe Independence Day holiday.