Online Forms

At Summerfield Family Eye Care, 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.

  • 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.
  • 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 you have regarding your eye health or vision on the form.

Download & Print Form


Download the Free AdobeReader®

Contact Us

We look forward to hearing from you

Hours of Operation

Our Regular Schedule

Office Hours

Monday:

9:00 am-1:00 pm

1:30 pm-5:00 pm

Tuesday:

9:00 am-1:00 pm

1:30 pm-5:00 pm

Wednesday:

9:00 am-1:00 pm

1:30 pm-5:00 pm

Thursday:

9:00 am-1:00 pm

1:30 pm-5:00 pm

Friday:

9:00 am-1:00 pm

Saturday:

Closed

Sunday:

Closed

Location

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Testimonials

Reviews From Our Satisfied Patients

  • "I recently received a corneal abrasion and Dr. Sarah Barts has gone above and beyond to help relieve my pain and discomfort. I can't thank her enough other than to give her the word that she is an excellent eye doctor, and I will never see another. If you are in the Summerfield area looking for a new eye specialist I HIGHLY recommend this office. The staff is always super friendly, and always willing to answer any questions you have. I can honestly say, as long I live in the Triad Area I will not stray from them"
    Dacia Waters
  • "I visited Summerfield Family Eye Care on 2/25 for an 11am appointment. The staff was friendly and I received answers to questions quickly. Not only did I receive an appointment a lot more quickly than other locations, but the overall time in office was phenomenal (Waiting room time quick, and seen the OD almost instantly). I'd recommend to family and friends for sure."
    Adam Hicks
  • "They are wonderful. Both me and my almost 4 year old are patients and they make her feel so comfortable and at ease, which isn't always easy. Would highly highly recommend."
    Miranda Peascoe

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