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Patient Forms

Access our patient forms that you can fill out before your next visit to Vision Source of Liberal Inc. in Liberal.

Our Forms

  • You will need AdobeReaderĀ® to download and complete the forms.
  • 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 Form [PDF]

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.

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We look forward to hearing from you.

Location & Hours

Locations

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Hours of Operation

Our Regular Schedule

Liberal Office Hours

Monday:

8:00 am-12:00 pm

12:45 pm-5:00 pm

Tuesday:

1:00 pm-7:00 pm

Wednesday:

8:00 am-12:00 pm

12:45 pm-5:00 pm

Thursday:

8:00 am-12:00 pm

12:45 pm-5:00 pm

Friday:

8:00 am-12:00 pm

12:45 pm-5:00 pm

Saturday:

Closed

Sunday:

Closed

Elkhart Office Hours

Monday:

Closed

Tuesday:

Closed

Wednesday:

9:00 am-12:00 pm

1:00 pm-4:00 pm

Thursday:

Closed

Friday:

Closed

Saturday:

Closed

Sunday:

Closed