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785-537-3937
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At Witt Eye Centers, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Information Sheet

Medical Review Form

Medication List

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Services
We strive to provide complete care for our patients. Learn more about all the services we provide.
About Us
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Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.