Online Forms

At Pearland Eye Care, 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.
  • 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 Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

English Form
Spanish Form
Vietnamese Form
HIPAA Form
Electronics Forms


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Pearland Eye Care - professional eye care you can depend on!

(713) 991-4100


Exam and glasses $129

Come in to get your eye exam and glasses for just $129. Restrictions apply, so call now for details.

Location

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Hours of Operation

Houston Office

Monday

9:00 am - 6:00 pm

Tuesday

9:00 am - 6:00 pm

Wednesday

9:00 am - 6:00 pm

Thursday

9:00 am - 6:00 pm

Friday

9:00 am - 5:00 pm

Saturday

9:00 am - 3:00 pm

Sunday

Closed

Houston Office

Monday
9:00 am - 6:00 pm
Tuesday
9:00 am - 6:00 pm
Wednesday
9:00 am - 6:00 pm
Thursday
9:00 am - 6:00 pm
Friday
9:00 am - 5:00 pm
Saturday
9:00 am - 3:00 pm
Sunday
Closed