Office Forms

We know your time is valuable.  By dowloading and filling out the welcome form prior to your visit we can make your appointment more efficient.  Just click Welcome Form PDF link below, print the form, fill it out to the best of your knowledge, and bring it with you to our office!  Don't worry if you have questions, we'll help you out when you are here.

 

Our insurance disclaimer and privacy information are below for your review. There is no need for you to sign them, they are only for informational purposes.

Welcome Form
BG Vision Center Welcome Form - Rev.3-14[...]
Adobe Acrobat document [887.6 KB]
HIPAA Form
hippaa+form.pdf
Adobe Acrobat document [2.3 MB]
Bowling Green Vision Center
111 Clough St
Bowling Green, Ohio 43402
Phone: 419-352-3223 419-352-3223
Fax: 419-352-5485
E-mail Address:

Contact Us Today!

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Copyright 2015 Drs. Shilling and Peiffer, Inc. All rights reserved.