SUMMIT FAMILY EYE CARE LLC
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Patient Forms.

Please fill out the following patient information forms and bring them with you to your first visit. Signing "Acknowledgment of Receipt of Privacy Practices" on the form signifies that you have read the Privacy Policy, listed below.

  • Patient Information Form
  • Privacy Policy

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Location info...
5198 N SUMMIT ST
TOLEDO, OH 43611
Phone: 419-726-1541 
Fax: 419-726-7222

Email

Office Hours
Mon: 8:30-5:00
Tue: 8:30-6:30
Wed: 8:30-5:30
Thur: 8:30-5:30
Fri: 8:30-5:00
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Notice of Privacy Practices.
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