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PATIENT FORMS

PATIENT INTAKE FORM

To prepare for your first CHIC Optique appointment, print out and complete the patient history form. Bring it with you, along with your photo ID, insurance card, and any prescription eyeglasses or sunglasses.

CARE CREDIT APPLICATION

CHIC offers CareCredit financing options to make paying for your healthcare needs easy and convenient. CareCredit allows you to obtain eye exams, contact lenses, and glasses when you need them. You can also upgrade your glasses or contact lenses and pay for them with low monthly payments. There are no upfront costs or pre-payment penalties.

HOURS

Tuesday 10am - 6pm

Wednesday 10am - 6pm

Thursday 10am - 6pm

Friday 10am - 6pm

Saturday 10am - 3pm

Closed Sunday & Monday

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Please call our office directly to ask any questions

and to set-up an eye exam appointment.

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STAY CONNECTED

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ADDRESS & PHONE
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2228 Wilton Drive Wilton Manors, Fl 33305

954-567-3937

© 2024 by CHIC OPTIQUE 

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