Young Vision Care - Patient Forms
Young Vision Care


Hours:
Mon 8:00am - 8:00pm
Tue-Fri 8:00am - 5:00pm

After Hours Emergency Contacts: Dr. Frank Dozon,OD: (402)-960-1258 or Dr. Jacque Young, OD: (712) 527-9730 or (402)547-0166 Heartland Eye Consultants: 1-888-837-EYES Omaha Eye & Laser: 1-800-766-8705




Contact:
Contact Us
406 First Street
Glenwood, IA 51534
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Young Vision Care is located on the north side of the town square in Glenwood, Iowa.



Phone: 712-527-4468
Fax: 712-527-9458

Patient Forms

This patient information form is needed with your general examination (recommended annually). Please complete and bring in this form for your appointment along with your current insurance information. If you have questions please contact us at 712-527-4468 or email frontdesk@youngvisioncare.com

Please review our Notice of Privacy Practices (link available on the bottom of this page). Complete the Receipt of Notice of Privacy Practices and bring it in at the time of your exam along with your patient history document.


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