Brush Optical
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New Patient Forms Paducah Kentucky

Patient Forms

When you visit Dr. Brush, you and your family will experience the work of our dedicated eye care professionals that work to fulfill all your vision needs. In fact, when you visit us, you can count on being greeted by a friendly staff, talking with a caring and professional optometrist and help with frames, lenses, and more. If you want to start being treated at Brush Optical. Please call our office to schedule your appointment and save time. Our patient forms are listed below.

Patient Information Form

Medical History Form Page 1

Medical History Form Page 2

Please download and print these forms, fill them out, and bring them with you on your first visit to our office.

Our office has moved!

We are now located in downtown Metropolis, IL

801 Market Street

Stop in Today!