Patient Center Online Forms
Download the necessary form(s), print it out and fill in the required information. Please fax us your printed and completed form(s) or bring it with you to your appointment.
New Patient Health History Form (Required)
Download & PrintFamily Vision Center, Inc. HIPAA (Required)
Download & PrintRecord Release Authorization (Required)
Download & PrintPayment Options
Family Vision Center, Inc. has products and pricing to accommodate all budgets for your eye care and eyewear needs, including eyeglasses, contact lenses, routine office visits and medical office visits.
Our Office Accepts
- Cash
- Check
- Visa, MasterCard, and Discover
- Flexible Spending Plans
- Health Savings Accounts (HSA)
- Medical Savings Accounts (MSA)
Participating Insurances
We accept most insurance plans at our office. Many plans and coverage vary. Please call our office and our staff will verify and explain your benefits before your visit, at no charge.
Office Information
- Monday
- 12:00am - 8:00pm
- Tuesday
- 9:00am - 4:00pm
- Wednesday
- 8:00 - 12:00 & 1:00 - 6:00
- Thursday
- 9:00 - 12:00 & 1:00 - 5:00
- Friday
- 8:00am - 4:00pm
- Saturday
- Closed
- Sunday
- Closed
262-377-3937
262-377-3948
Email Us
- W63 N543 B Hanover Avenue
- Cedarburg, WI 53012