You are here: Patient Forms   Search
Download Our Form
Please click on the Patient Information Form link below. Print out the form (Adobe Acrobat required), fill it out completely, and bring it in with you to your appointment.
   

Contact Us    Minimize

Feel free to call or fax us at:

Phone: 517.699.3937
Fax: 517.699.4199

In case of emergency:

Dr. Houser: 285.8389
Dr. Cousineau: 285.8388
Dr. Kramer: 881.3342


See us on Facebook

  

 Copyright 2008 by Holt Eye Care Terms Of Use | Privacy Statement