Appointments: 847-473-2568 3900 Fountain Sq. Pl. Waukegan, IL 60085
Courtesy Discounts and Patient History Form
To speed the process of your check-in at the office, you may complete your medical patient history form online in the comfort of your home, print it, and bring it with you to the office. Bring
your most recent pair of eyeglasses (or written prescription) and any
past contact lens prescription information (or box tops, labels, etc.).
Thank you, and we look forward to seeing you!
PATIENT HISTORY FORM Terms of Use The office (Goodworks Eyecare) reserves the right to discontinue, change or add to the publication of any discount coupon posted online without prior notice. We will always honor any discount coupon printed in the website even if it is no longer posted online subject to all stated terms including date of expiration. The office reserves the right to refuse service or dishonor coupon discount at our discretion, including, without limitation, if the office believes that customer conduct violates applicable rules, state law or is harmful to the interest of the office and its partners.
