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Practice Name

Eye Contact

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Primary Location
7428 Mineral Point Rd
Madison, WI 53717
Phone: 608-833-3937
Fax: 608-833-4248

Office Hours

DayMorningAfternoon
Monday8 - 112 - 5
Tuesday8 - 11Closed
Wednesday8 - 112 - 5
Thursday8 - 11Closed
Friday8 - 112 - 5
SaturdayBy Appt.Closed
SundayClosedClosed
Main Content

On-line Registration

You can download, and print the forms below, then bring them with you for your exam OR save time and paper by utilizing our on-line registration system - your information is securely transmitted directly to us, just let us know, when you come in for your appointment, that you have filled out the forms on line. 

Just click the link below to get started!

Here is a link to a website that can assist you with eyewear and lens decisions based on your lifestyle and optical needs. Feel free to print out the results and bring them in for our opticians, so we can provide you with even more personalized service.


If you don't want to utilize our on-line registration, you can still save some time by printing and filling out the forms below and bringing them with you for your exam.

  • You will need AdobeReader® to download and complete the forms. 
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Please bring the signed and completed forms to your appointment.

Eye Contact Patient Registration and Health History Form 

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 Registration Form

Download & Print Health History


Eye Contact Notice of Privacy Practice

Please print and sign this notice and bring it in with your registration form.

Download, Print & Sign Notice of Privacy Practice 


Eye Contact Dry Eye Questionnaire

If you are between the ages of 18 and 60 please complete this questionnaire and bring it with you also.

Dry Eye Questionnaire


InfantSEE Patient History Form

InfantSEE®       


Early and frequent screenings the key to child vision health


Most cataract patients are happier, more independent after surgery


New patients receive 15% OFF  a complete pair of glasses with your first visit. Print this coupon and bring it with you on your first visit.

Utilize our on line appointing or call us at 608-833-3937 (West) or 608-241-3737 (East).  

Print this coupon for discounts on prescription eyewear purchases!

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Employment Opportunities at Eye Contact!

 

Got Insurance?

We accept EyeMed, Superior Vision, VSP, NVA, Unity HMO, Physician's Plus HMO as well as DeanCare Point of Service plans. We assist in filing claims for several other insurance providers - call to see if we accept your insurance plan.

West 608-833-3937 | East 608-241-3737

 

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Contact

Eye Contact - West
7428 Mineral Point Rd
Madison, WI 53717
Get Directions
 
  • Phone: 608-833-3937
  • Fax: 608-833-4248
  • Email Us
Eye Contact - East
4228 East Towne Blvd.
Madison, WI 53704
Get Directions
 
  • Phone: (608) 241-3737
  • Fax: (608) 241-4560
  • Email Us

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