Patient Forms

Please fill out the following patient information form and bring it with you along with any current glasses or contacts you might wear. 

• ​Welcome Patient History and Consents form​ (please print and fill)


• Welcome Office HIPPA  Insurance and Dilation Procedure Information​ (for reference only)
  

Steel City Eye Care

2937 7th Ave South, Suite 104
Birmingham, AL  35233

Voice:  205-203-4837
Text:    205-447-6774
Fax:     205-327-1349

Email:  info@steelcityeyecare.com

Office Hours:

Wed:  6am - 2pm
Thur:  6am - 2pm
Fri:      6am - 2pm