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Online Forms

At Waitkus 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 AdobeReader® 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.

New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

Download & Print Form


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Our Location

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Office Hours

Open One Saturday Each Month

Current Hours

Monday:

Closed

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

  • "Waitkus Eye Center is the best at what they do and make you feel right at home."
    Tiffany R. / Beckley, WV
  • "Everything explained, friendly, every question answered, very pleased with the care."
    Shirley
  • "I have been going to Waitkus Eye Center for many years. I have been treated very well at all times with friendly professionals. I think the world of Dr. Waitkus."
    Leal
  • "Staff is super friendly and helpful. Helped me choose some great glasses and were very helpful and supportive with making my decision."
    Jami