Antioch Eye Associates
  • Home
  • Our Practice
  • Our Services
  • Patient Forms
  • Promotions
  • Eye Care Articles
  • Location
  • Patient Forms

Patient Forms

Patient Forms 
Record Release Form not required for appointment.


Health History Form
File Size: 40 kb
File Type: pdf
Download File

Record Release
File Size: 18 kb
File Type: docx
Download File

Contact Us
31 North Ave
Antioch, IL 60002
Phone: 847-395-4090  ​
Email: eyedocs@antiocheyeassociates.com
            Can email to request appointment
​



Office Hours
Mon    7:00 am - 5:00 pm
Tues    9:00am - 4:00pm 
Wed   7:00 am - 6:00 pm
Thu     7:00 am - 5:00 pm
            Closed 12 pm-1 pm 
Fri       7:00 am - 3:00 pm

Sat      8:00am - 12:00pm
1st three Saturdays of the month
Wednesday February 13th
​Office will close at 3pm.



​Notice of Privacy Practices
Website by Eyefinity
  • Home
  • Our Practice
  • Our Services
  • Patient Forms
  • Promotions
  • Eye Care Articles
  • Location
  • Patient Forms