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Practice Name

Optique EyeCare

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Primary Location
2435 Dean Street Suite C
St. Charles, IL 60175
Phone: (630) 377-7722
Fax: (630) 377-7755

Office Hours

DayMorningAfternoon
Monday10:00 AM7:00 PM
Tuesday10:00 AM6:00 PM
Wednesday10:00 AM4:00 PM
Thursday10:00 AM7:00 PM
Friday9:00 AM5:00 PM
Saturday8:00 AM2:00 PM
SundayClosedClosed
Main Content

At Optique EyeCare, 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. Click here to download.
  • 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.

Adult Medical Questionnaire

Download & Print Form


Child Medical Questionnaire

Download & Print Form


Functional Evaluation Questionnaire

Download & Print Form


Download the Free AdobeReader®

Exclusive Offer

New patients receive 15% OFF first visit.

Sign-up using the form or call us at (630) 377-7722 to take advantage of this exclusive offer.

We will do our best to accommodate your busy schedule. Request an appointment today!


Online Forms

Optique EyeCare offers our patient form(s) online so they can be completed in the convenience of your own home or office.
Download Online Forms Here

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Make an Appointment

We will do our best to accommodate your busy schedule. Request an appointment today!

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Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Contact

Optique EyeCare
2435 Dean Street Suite C
St. Charles, IL 60175
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  • Phone: (630) 377-7722
  • Fax: (630) 377-7755
  • Email Us

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