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Patient Paperwork

Please bring the following items to your visit:

  • Drivers license

  • Insurance card (if any)

  • Current glasses 

  • Current glasses Rx

  • Current contact lens Rx

  • Patient paperwork see PDF below

New Patient Paperwork: click on the attachment to download. Print the document and fill in all pages. If you have any questions you can always call us or ask us at the time of your visit.

Use this form for:

- New patient's only

- Comprehensive Eye Exam

- Glasses prescription

- Contact lens fitting

- Eye health problems

Existing Patient Paperwork: click on the attachment to download. Print the document and fill in all pages. If you have any questions you can always call us or ask us at the time of your visit.

Use this form for:

- Previous patient's only

- Comprehensive Eye Exam

- Contact lens fittings

- Eye health problems

Bob Ham Eyewear, Inc. serving Jacksonville, Fleming Island, Orange Park, Green Cove Springs, Middleburg, and the Mandarin area. 

We provide Comprehensive Eye Exams, Glasses, Children's glasses, Kids Glasses, Infant glasses, Sunglasses, Safety Glasses and other Eyewear needs.

We have an eye doctor optometrist on-site right here at our Optical Shop.  

CONTACT US

 

P 904-268-5949

E BHeyewearJAX@gmail.com

 

9965 SAN JOSE BLVD STE 24 JACKSONVILLE FL 32257

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