If you are a new patient of Fountains Eyecare Center, please download and fill out the form below and bring with you to your first appointment.
Welcome Checklist
New Patient Form
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For with You is the Fountain of Life, in Your Light we see Light Psalms 36:10 (NAB) 2010 © Fountains Eyecare | 314 D Fountains Parkway, Fairview Heights, IL 62208 618-622-3013 | info@fountainseyecare.com Designed. Hosted and Maintained by Image Excellence