CALL US
REQUEST APPOINTMENT
CALL US
REQUEST APPOINTMENT

ONLINE FORMS

At South Holland Vision 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.

  • 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 FORM 

A WORD FROM OUR PATIENTS

"I love Dr. Williams. He is so caring and answers all my questions and concerns. The staff also are professionals."

CAROL L. / SOUTH HOLLAND, IL

"The secretaries and the dr are awesome. . They really are the sweetest people you wanna ever meet . The way they attend to you with care and not phony attitudes. They are really sincere."

CARMEN C. / SOUTH HOLLAND, IL

"Very friendly staff and I was in and out in an hour. Also very clean on the inside and outside."

MANDY C. / SOUTH HOLLAND, IL
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REQUEST AN APPOINTMENT

Use this form to request an appointment with us. While we will do our best to accommodate your requested day and time, please note, your appointment is not fully booked until you get a confirmation from us!

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

OUR REGULAR SCHEDULE

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

9:00 am-12:00 pm 1:00 pm-5:00 pm

9:00 am-12:00 pm 1:00 pm-5:00 pm

9:00 am-12:00 pm 1:00 pm-7:00 pm

Closed

9:00 am-12:00 pm 1:00 pm-5:00 pm

8:00 am-1:00 pm

Closed

REQUEST AN APPOINTMENT

Use this form to request an appointment with us. While we will do our best to accommodate your requested day and time, please note, your appointment is not fully booked until you get a confirmation from us! Please do not submit any Protected Health Information (PHI).

REQUEST AN APPOINTMENT

Use this form to request an appointment with us. While we will do our best to accommodate your requested day and time, please note, your appointment is not fully booked until you get a confirmation from us! Please do not submit any Protected Health Information (PHI).

REQUEST AN APPOINTMENT

Use this form to request an appointment with us. While we will do our best to accommodate your requested day and time, please note, your appointment is not fully booked until you get a confirmation from us! Please do not submit any Protected Health Information (PHI).