The Bixby Eye Center - Patient Forms
The Bixby Eye Center

If you would like to fill out your patient information form ahead of time, you may print it out here, fill it out at your convenience, and bring it with you the day of your appointment.

If you would like to fill out your health history form ahead of time, you may print it out here, fill it out at your convenience, and bring it with you the day of your appointment.


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Contact Us
6807 N Knoxville Avenue
Peoria, IL 61614
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Phone: (309) 692-0000
Fax: (309) 692-8082
e-mail us

Mon-Fri 8:00am - 5:00pm
Saturdays mid-Oct. through mid-May 8:00am - 12:00pm

Notice of Privacy Practices