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Online Forms

At Western Rockies Eye Center, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

Download & Print Form


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Location

Hours of Operation

Monday:

8:00AM - 5:00PM

Tuesday:

8:00AM - 5:00PM

Wednesday:

8:00AM - 5:00PM

Thursday:

8:00AM - 5:00PM

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Testimonial

  • "I did see Dr. Bush because 15 years ago my mother-in-law recommended him. He has now retired but I see Dr. Kellam. He is wonderful. The people I have seen there are very professional. Dr. Kellam did my cataract surgery for both eyes and I couldn't be more pleased. Staff at the eye center (which has moved to 2460 Patterson-in Frontier Plaza) and the surgical center (which remains at 1000 Wellington) are thorough, fast, friendly, compassionate and right there to answer any concerns you might have. Highly recommend Dr. Kellam."
    Pattie V.