Dr. Diehl and Dr. Owens
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  • PATIENT PORTAL: PHR
  • VISION THERAPY
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  • Cirrus HD-OCT
  • LASIK
  • InfantSEE
  • Screenings vs. Exams
  • Promotions
  • Location

PATIENT FORMS

Patient Forms

Medical History Form (ALL Patients)
File Size: 96 kb
File Type: pdf
Download File

Parents Questionnaire (Kids < 12)
File Size: 26 kb
File Type: pdf
Download File

​For faster service the day of your examination, please print, complete the form & bring it with you the day of your appointment.
InfantSEE Form (Infants 6 mo - 1yr)
File Size: 32 kb
File Type: pdf
Download File

For faster service the day of your examination, please print, complete the form & bring it with you the day of your appointment.

What is Vision Therapy
File Size: 238 kb
File Type: pdf
Download File

Common Disorders Vision Therapy Can Treat
File Size: 116 kb
File Type: pdf
Download File

Insurance Check List For Vision Therapy
File Size: 198 kb
File Type: pdf
Download File

Payment and Options For Vision Therapy
File Size: 186 kb
File Type: pdf
Download File

Vision Therapy Policies
File Size: 82 kb
File Type: pdf
Download File

Contact Us
Clarion Eye Care, Inc.
1350 East Main Street, Suite 20
Clarion, PA 16214
P 814-226-4862
[email protected]
Office Hours
Mon    9:00 am - 7:00 pm
Tue     7:00 am - 5:00 pm
Wed    8:00 am - 5:00 pm
Thu     8:00 am - 4:30 pm
Fri       7:00 am - 4:30 pm
Sat      CLOSED

Notice of Privacy Practices
Website by Eyefinity
  • Home
  • Our Practice
  • Our Services
  • Patient Forms
  • PATIENT PORTAL: PHR
  • VISION THERAPY
  • OPTOS
  • Cirrus HD-OCT
  • LASIK
  • InfantSEE
  • Screenings vs. Exams
  • Promotions
  • Location