Online Forms

At Mason Family Vision, 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. Then you may:

  • Fax your completed form(s) to our office fax number (803) 865-5496  OR
  • Send a photo of your completed form(s) by texting to  (803) 865-5520

New Patient Forms  (This is required from all patients that have not received an exam in the past 3 years)

Established Patient Forms  (This is required from all patients that have received an exam within 3 years)


Additional Forms: 

OPTOMAP Retinal Imaging

Current Medications List

Medical Records Release

Click here to read Notice of Privacy Practices


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Locations

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Office Hours

Monday:

7:30 am-4:30 pm

Tuesday:

7:30 am-4:30 pm

Wednesday:

7:30 am-4:30 pm

Thursday:

7:30 am-4:30 pm

Friday:

7:30 am-1:00 pm

Saturday:

Closed

Sunday:

Closed