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At The Eye Site at Copley Circle, 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


Download the Free AdobeReader®

Exclusive Offer

New self pay patients receive 15% OFF first visit.

THIS ---->https://copleyeyesite.imatrixbase.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday9 - 1212 - 7
Tuesday9 - 1212 - 5
Wednesday9 - 1212 - 7
ThursdayClosedClosed
Friday9 - 1212 - 5
Saturday9 - 12Closed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9 - 12 9 - 12 9 - 12 Closed 9 - 12 9 - 12 Closed
12 - 7 12 - 5 12 - 7 Closed 12 - 5 Closed Closed

Testimonial

Dr. Hazelwood and her staff are the best! Everyone is so attentive and friendly and unlike the big chains, the same folks still work there every time I go in to the office. They offer the hometown feeling that big chains simply cannot duplicate because they are part of the community. My current eye glasses prescription are the best I have ever had. I highly recommend The Eye Site at Copley Circle.

Edwin
Copley, OH

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