Rick A. Cherry, OD
419-517-7106
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Patient Forms

Authorization Form
File Size: 18 kb
File Type: pdf
Download File

Medical History Form Part 1
File Size: 38 kb
File Type: pdf
Download File

Medical History Form Part 2
File Size: 18 kb
File Type: pdf
Download File

Patients can now download our medical forms above here and have them completed when they arrive at the office for their appointment. We hope that this will save some time and let you enjoy the rest of your day.
Contact Us
6600 Sylvania Ave, Suite 1-A
Sylvania, OH 43560
Phone: 419-517-7106
Office Hours
Mon    8:00 am - 5:00 pm
Tue     8:00 am - 7:00 pm
Wed    8:00 am - 5:00 pm
Thu     8:00 am - 5:00 pm
Fri       8:00 am - 5:00 pm
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