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YOUR CART

Patient Forms

Patient Forms


Patient Health History & Information
File Size: 76 kb
File Type: pdf
Download File

Please download this form, complete it and bring it to your examination so that we may serve your eye health and vision needs in the best manner as well as saving you time at your visit.
Borodkin Eyecare at Visionworks Summit Mall
(Enter the Mall entrance by PF Chang's where there is handicapped parking available.  We are 4 units down from Dillard's East Store.)

3265 West Market Street, Suite 632
Fairlawn, OH 44333
Phone 330-869-0874 or 330-253-2436
Fax:  330-864-0865
Dr Email: [email protected]
Office Hours: Effective 11/1/24
Monday:  10 am - 6 pm
Tuesday:  10 am - 6 pm
Wednesday:  10 am - 6 pm
Thursday:  10 am - 6 pm
Friday:  10 am - 6 pm
Saturday 10 am - 6 pm 
Closed Sunday