Chatham

(434)432-1500

Danville

(434) 793-6912

Martinsville

2766473937

Rocky Mount

(540) 483-0284

San Francisco

(800) 246-9853

Friedrichs Family Eye Center, PC

(434)432-1500

Registration Form


Click on the following link to complete forms ahead of time. Please be sure to bring these when you come. Patient Intake Forms

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The doctor strongly recommends that all patients have this procedure performed. It is especially important for people who have: Headaches, See Spots or flashes, has a family history of diabetes, glaucoma or high blood pressure, or who have high cholesterol or have reached the age of 40. All new patients should have this test for their records.
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Please do not submit any Protected Health Information (PHI).

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    Please do not submit any Protected Health Information (PHI).

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