Patient History Forms

Phone: <a class="ecp-phone-call-phone" href="tel:913-735-9961" style="text-decoration:none"> 913-735-9961
Fax: 913-270-4304
Email: oakpark@proeye.com (Do not send personal health information by email.)

Fill out forms for Professional Eyecare South at https://intakeq.com/new/N8W0YH

We are still requiring masks for employees and strongly encourage them for patients in office per CDC guidelines.

Fountains/South