Contact Us:

Phone: 513-874-1718

Fax: 513-870-5600

2834 Mack Rd., YOU SHOULD RECEIVE A CALL FROM OUR SCHEDULER WITH IN 48H CONFIRMING AN ON-LINE APPOINTMENT. IF YOU DO NOT HEAR FROM US, PLEASE CALL US TO CONFIRM THE APPOINTMENT WAS RECEIVED.
FAIRFIELD, OH 45014
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Hours:

Mon 8:00 am - 7:30 pm
Tue 9:00 am - 6:00 pm
Wed 8:00 am - 4:00 pm
Thu 8:00 am - 5:00 pm

Saturday Office hours vary.
Call ahead to verify.
Closed on Friday

Staarmann Family Vision Center, Inc

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Patient Forms

General Patient Information

Print and complete prior to appointment.

Personal Medical History

Print and complete prior to appointment.

HIPAA STATEMENT

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. PLEASE REVIEW IT CAREFULLY.

OFFICE POLICIES AND INFORMATION

This form contains our office policies, warranties and information on eyeglass prescription follow-ups.

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