Online Forms

In an effort to keep your visit efficient and accurate, we are now offering you the opportunity to provide us with some information before you have even walked through the door.

Below is a secure link to our Health History Questionnaire, our office HIPPA Policy,and a Patient Registration Form. Any information you provide will be added to your own personal health record and reviewed with you on the day of your visit. Feeling a little uneasy about providing information on the internet? Saline Optometry understands and respects the sensitive nature of personal health information.

Please feel free to print out and fill out the Health History questionnaire and one of our technicians will make sure that the information is accurately entered into your record. If you are unable to provide any information, or simply prefer not to prior to your appointment, one of our technicians will happily review our Health History questionnaire with you at the time of your visit. We look forward to seeing you soon!

Patient Registration

Notice of Privacy Practices (HIPPA)

New Patients Receive 15% OFF Second Pair of Complete Glasses!

Contact Us

Office Hours

Chelsea Eyeglass Co

Monday:

10:00 am-5:00 pm

Tuesday:

10:00 am-5:00 pm

Wednesday:

10:00 am-7:00 pm

Thursday:

10:00 am-5:00 pm

Friday:

10:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Saline Optometry

Monday:

8:00 am-7:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed