WYSE WILLA OPTOMETRY, INC.
  • HOME
  • MEET THE DOCTORS
  • MEET THE STAFF
  • Our Services
    • Eye Exams
    • Contact Lenses
    • Optical Dispensing
    • Vision Therapy
    • IPL
    • TearCare
    • Myopia Control
    • Promotions
  • Eye Care Articles
  • Patient Forms
  • MAKE AN APPOINTMENT

Patient  Forms

Patient  Forms

HIPPA Records Release Form
File Size: 139 kb
File Type: pdf
Download File

Medical History Form
File Size: 52 kb
File Type: pdf
Download File

Vision Therapy Questionnaire for Parent
File Size: 110 kb
File Type: pdf
Download File

Vision Learning Questionnaire for Teacher
File Size: 227 kb
File Type: pdf
Download File

Vision Therapy- Learning Related Vision Problems Diagnosis & Treatment Information
File Size: 101 kb
File Type: pdf
Download File

Vision Therapy Symptoms Questionnaire
File Size: 225 kb
File Type: pdf
Download File

Office Hours
*Mon    8:30 am - 5:30 pm
*Tue     8:00am - 5:00pm
*Wed    8:00 am - 5:00 pm
*Thu     8:30 am - 5:30 pm
Fri       8:30 am - 2:00pm
​
Sat                       Closed   
                    Sun                      Closed                        

*Monday-Thursday Office is
closed for Lunch 12pm-1:30pm
Wyse Willa Optometry, Inc.
Wendy Shem, O.D.
Kristen Phifer, O.D.
​Michael Hoey, O.D.

Email: [email protected]
Notice of Privacy Practices
  • HOME
  • MEET THE DOCTORS
  • MEET THE STAFF
  • Our Services
    • Eye Exams
    • Contact Lenses
    • Optical Dispensing
    • Vision Therapy
    • IPL
    • TearCare
    • Myopia Control
    • Promotions
  • Eye Care Articles
  • Patient Forms
  • MAKE AN APPOINTMENT