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.

Weather Alert

Current forecasts call for winter weather overnight in the Peoria area. Please check Illinois Eye Center’s website for the latest information on closures or delayed opening that may impact your appointment on Friday January 10. If you prefer to request a reschedule of your appointment now, please use the link below.

Reschedule Appointment

Weather Notice

Illinois Eye Center will be closing today, Wednesday, February 12, at 4 PM. We will be monitoring the weather throughout the day, but we understand if you feel unable to navigate the conditions safely to and from your appointment. Please use the link below to request a rescheduled appointment. If you plan to attend your appointment, please check here for updates immediately before departing, as our website will contain the most up-to-date information.