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Practice Name

Xceptional Eye Care

Primary Location
7018 N Western Ave
Chicago, IL 60645
Phone: 773-274-1880
Fax: 773-274-1881

Office Hours

DayMorningAfternoon
Monday11:00am6:00pm
Tuesday11:00am6:00pm
Wednesday11:00am6:00pm
ThursdayClosedClosed
Friday11:00am6:00pm
Saturday10:00am3:00pm
SundayClosedClosed
Main Content

At Xceptional 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. Click here to download.
  • 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.

Download & Print Form


Download the Free AdobeReader®

Exclusive Offer

30% OFF Complete Pair of Glasses

Sign-up using the form or call us at 773-274-1880 to take advantage of this exclusive offer.

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Email: *
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Online Forms

Xceptional Eye Care offers our patient form(s) online so they can be completed in the convenience of your own home or office.
Download Online Forms Here

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We will do our best to accommodate your busy schedule. Request an appointment today!

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Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Contact

Xceptional Eye Care
7018 N Western Ave
Chicago, IL 60645
Get Directions
 
  • Phone: 773-274-1880
  • Fax: 773-274-1881
  • Email Us

Office Hours

DayMorningAfternoon
Monday11:00am6:00pm
Tuesday11:00am6:00pm
Wednesday11:00am6:00pm
ThursdayClosedClosed
Friday11:00am6:00pm
Saturday10:00am3:00pm
SundayClosedClosed
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