At Ridgeland Eyecare Center, Inc., 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.

Patient Registration Form – Required

Please complete this form as it lets us know the history and current state of your health. Please Print and Bring it with you in your appointment.

Download & Print Form


HIPAA Policy Form – Required

Download & Print Form


Dry Eye Symptom Form

Download & Print Form


Optos/iWellness Form

Download & Print Form



Download the Free AdobeReader®

Contact Us

We look forward to hearing from you

Location

  • Ridgeland Eye Care Center, Inc.

    Address

    8 Professional Pkwy
    Ridgeland, MS 39157, US

Hours of Operation

Our Regular Schedule

Ridgeland Office

Monday

9:00 am - 5:30 pm

Tuesday

9:00 am - 5:30 pm

Wednesday

9:00 am - 5:30 pm

Thursday

9:00 am - 5:30 pm

Friday

9:00 am - 1:30 pm

Saturday

9:00 am - 1:30 pm

Every other Saturday

Sunday

Closed

Ridgeland Office

Monday
9:00 am - 5:30 pm
Tuesday
9:00 am - 5:30 pm
Wednesday
9:00 am - 5:30 pm
Thursday
9:00 am - 5:30 pm
Friday
9:00 am - 1:30 pm
Saturday
9:00 am - 1:30 pm Every other Saturday
Sunday
Closed