722 S Buffalo Grove Rd,
Buffalo Grove, IL 60089
709 S Seeley Ave,
Chicago, IL 60612
☎
(224) 223-7005
|
✉
EMAIL US
Complimentery
Phone Consultation
224-223-7005
Purchase Supplements
Request An Appointment
Patient Registration
HOME
ABOUT US
MEET YOUR DOCTOR
IALVS
LOCATIONS
CUSTOMIZED LOW VISION AIDS
ABSORPTIVE LENSES
BIOPTIC TELESCOPES
CLEARIMAGE II
DIGITAL SOLUTIONS
E-SCOOPS Glasses
PRISMATIC GLASSES
READING TELESCOPES
SIDE VISION AWARNESS GLASSES (SVAG)
CAUSES OF LOW VISION
LOW VISION DEFINITIONS
AGE RELATED MACULAR DEGENERATION
ALBINISM
BRAIN INJURY / STROKE
CATARACTS
DIABETIC RETINOPATHY
EYE INJURIES
Congenital Glaucoma
Glaucoma (Adulthood)
NYSTAGMUS
OPTIC ATROPHY
OPTIC NERVE HYPOPLASIA
DEGENERATIVE / PATHOLOGIC MYOPIA
RETINITIS PIGMENTOSA
STARGARDT'S DISEASE
PATIENT RESOURCES
PATIENT FORMS
TIPS FOR LOW VISION
ORGANIZATION LINKS
IL DRIVING REQUIREMENTS
VISION SPECIALIST REPORT
EYE HEALTH & WELLNESS
REVIEWS
CONTACT US
Patient Forms to Fill Out
Request An Appointment
Patient Registration
Low Vision History Form
Acknowledgement of Privacy Practice
Authorization to Disclose Health Information
Request An Appointment
For Referring Specialists and Patients
Office
Buffalo Grove
Chicago
La Grange
Melrose Park
Full Name
Phone (xxx-xxx-xxxx)
Email
Referred By
Friend
Family Member
Optometrist
Ophthalmologist
Retina Specialist
Occupational Therapist
Family Physician
Other or N/A
Name Of The Person Who Referred You
Patient Status
New Patient
Current Patient
The best day to be contacted would be between
and
The Best Time to Call
In the Morning
In the Afternoon
In the Evening
Between 9 am - 10 am
Between 10 am - 11 am
Between 11 am - 12 pm
Between 12 pm - 1 pm
Between 1 pm - 2 pm
Between 2 pm - 3 pm
Between 3 pm - 4 pm
Between 4 pm - 5 pm
Anytime
When would you like to come in?
Soonest Available Appointment
Within 1 Week
Greater Than 1 Week
Notes
Solve:
*
*
42 - 0
=
Request An Appointment
Purchase Supplements
Patient Registration
722 S Buffalo Grove Rd
Buffalo Grove, IL 60089
Map it!
709 S Seeley Ave
Chicago, IL 60612
Map it!
(224) 223-7005
Buffalo Grove
722 S Buffalo Grove Rd
Buffalo Grove
,
IL
60089
Phone:
(224) 223-7005
Fax:
(224) 353-4827
Chicago 709 S Seeley Ave Chicago, IL 60612 Phone: (224) 223-7005 Fax: (224) 353-4827
La Grange 5201 South Willow Springs Road Suite 450 LaGrange, IL 60525 Phone:
Melrose Park 675 W. North Avenue Suite 107 ?Melrose Park, IL 60160 Phone:
Offices Throughout Chicagoland
© 2024 All content is the property of
OptoNu Low Vision Care
™ & assoc. vendors. |
Notice of Privacy Practices
Website Powered and Developed by
EyeVertise.com
Internal forms