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At Crandon & Crandon Optometry, we try our best to save paper and time. Please support us in this endeavor and complete as much paperwork online as possible.

In order to complete the required forms, you will need the most updated version of Firefox, Internet Explorer or Google Chrome.

Please try to complete the entire form in one sitting and remember to click Submit when finished.

After you have scheduled an appointment , please click on the "Personal Information" link and follow the directions. We will provide you with a pass-code to update and or enter your existing information.

Please remember to fill out both tabs: Demographics and Medical History, before you click 'submit".

IF you need records sent to us from another office, please print the Record Release", fill it out and fax it to your previous or referring doctor.

All patients must consent to our privacy practices. You will be asked to sign a consent form when you arrive for your appointment. In order to review our privacy practices, please click on the " Statement of Privacy Practices-HIPAA" link. There is no need to print this.

If the patient is a child of school age, please fill out the Symptoms Check List.


Online Forms:


Online Patient Form

Children Form


Printable Forms:

Record Release

HIPPA Form

Symptoms check list

Welcome to Crandon & Crandon Optometry

20% off a second pair of glasses or sunglasses!

 

with VSP or private pay purchases. Some exclusions apply; see an optician for details.

 

Call us at (785) 843-3844 to take advantage of this exclusive offer!

Office Hours

DayOpenClosed
Monday8:30 AM5:00 PM
Tuesday8:30 AM7:00 PM
Wednesday9:00 AM5:00 PM
Thursday8:30 AM7:00 PM
Friday8:30 AM5:00 PM
Saturday9:00 AM1:00 PM
SundayClosedClosed
Day Open Closed
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30 AM 8:30 AM 9:00 AM 8:30 AM 8:30 AM 9:00 AM Closed
5:00 PM 7:00 PM 5:00 PM 7:00 PM 5:00 PM 1:00 PM Closed