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Patient Forms



Thank you for giving us the opportunity to provide you with your eye care needs. We look forward to a healthy and educational relationship. In order to make your appointment time as efficient as possible, please follow the instructions below.

  1. Print and complete the Patient Information form and bring it with you to your appointment.
  2. Bring any present or past eye medications with you.
  3. Bring a list of any other medications, vitamins or supplements you are taking.
  4. Refrain from wearing perfume due to allergies of other patients and staff.
  5. Bring all insurance cards.
  6. Check with your insurance to see if they require any pre-approvals to be seen by a physician in our practice. There are two types of eye exams. Please let our receptionist or technician know which type of exam you are scheduled for.
    1. The first is an eye exam with medical complaints and this will be filed with any medical insurance we participate with.
    2. The second is a routine vision exam with no complaints which will be filed with any routine vision examination, under your medical insurance, that we participate with. 

Any patient who is a minor, not mentally able to answer questions regarding their health, or not physically able to move around without assistance must have a parent of care giver with them for their exam.  

Hecker Eye Care Associates
1507 Westover Terrace, Suite C
Greensboro, NC 27408
Phone: 336-330-1983
Fax: 336-274-2024
Office Hours

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