Dr. Dachelet and Dr. Wilczek - Anniston Eye Clinic

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  • About Us
    • Meet the Doctors
    • Insurance
  • Our Services
  • Our EyeWear
  • Patients
    • Patient Portal
    • Prepare For Your Visit
    • Patient Forms
    • Order Contacts
    • Promotions
    • Eyecare Articles
  • Testimonials
  • Contact Us
  • Home
  • About Us
    • Meet the Doctors
    • Insurance
  • Our Services
  • Our EyeWear
  • Patients
    • Patient Portal
    • Prepare For Your Visit
    • Patient Forms
    • Order Contacts
    • Promotions
    • Eyecare Articles
  • Testimonials
  • Contact Us

Downloadable Patient Forms

Please download and fill out the following patient information form and bring it with you to your first visit. 

  • New Patient Information Form

[NOTE: This PDF requires a free plugin that may have come included with your browser. If you are having difficulties opening this file Click Here to go to Adobe's web site for Acrobat Reader.]
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Anniston Eye Clinic
1105 Christine Avenue
Anniston, AL  36207


Phone: 256-236-0300
Fax: 256-236-5222
[email protected]
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An Anniston Optometrist winner of the 2015 Patients' Choice Awards.
Verified by OpenCare.com
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