New Patient

New Patient Form


Welcome! If you are planning your first visit to Ammel Optometry, we look forward to meeting you! To save time on your first visit, we encourage you to download, print, and fill out our new patient forms below.

If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s), print it out and fill in the required information.

  • Complete your forms and bring them in with you to your appointment
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admin none Closed 9:00am - 4:00pm 9:00am - 4:00pm 11:00am - 7:00pm 9:00am - 3:00pm 9:00am - 2:00pm Closed optometrist # # # 8:30am - 7:00pm 8:30am - 5:30pm 9:00am - 5:30pm 8:30am - 5:30pm 8:30am - 4:00pm Closed Closed 7857491010 7857494441 3300 Bob Billings Pkwy Ste 9 Lawrence KS 66049 floryeyeoffice@gmail.com https://www.google.com/maps/place/3300+Bob+Billings+Pkwy+%239,+Lawrence,+KS+66049,+USA/@38.9574309,-95.2775126,17z/data=!3m1!4b1!4m5!3m4!1s0x87bf6ed18b22d1f1:0x8d9e7409e35268fc!8m2!3d38.9574309!4d-95.2775126 https://goo.gl/maps/fpeHQ383LX12LA2w6 Enable https://s3.amazonaws.com/static.organiclead.com/Site-aa09b756-63b5-4ee0-8aaa-68b2defd49aa/AmmelOptometry_Q1SeeClearThisYear_Social.png https://s3.amazonaws.com/static.organiclead.com/Site-aa09b756-63b5-4ee0-8aaa-68b2defd49aa/AmmelOptometry_Q4CelebrateSavings_Social.png