Patient Forms

Welcome to Illinois Eye Center! Upon your first visit with us, please complete the New Patient Forms prior to your arrival. This includes the HIPAA Release of Information and Authorization for Medical Benefits Forms. 

We’ve also included a Records Release form for your convenience. If your child will be attending an appointment without a parent or guardian, please compete the Consent for Treatment of a Minor form.

Holiday Hours

During the holiday season, Illinois Eye Center has special hours for our three locations. Please review below and contact us at 309-243-2400 with any questions.

Pekin and Washington 

  • Closed from December 23rd through December 27th. All services will be available in Peoria per the below schedule. We will reopen with normal business hours on 12/30.
 

Peoria Office (including Optical Department and EyeCareToday – Same Day)

  • December 23rd – normal business hours
  • December 24th – Closed (*By appointment only)
  • December 25th – Closed
  • December 26th – normal business hours resume
 

All offices (Peoria, Washington, Peoria, Optical Department, and EyeCareToday – Same Day)

  • December 31st, all offices will close early at 4:00 PM
  • January 1st – Closed (*By appointment only)
  • January 2nd – normal business hours resume