• Forms

    Feel free to print, fill out, and bring these forms with you when you come in to visit us.
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Below are the forms most commonly used when you visit Douglas Family Eyecare. It is by no means a requirement that you bring these to your appointment completed but it will save you time at our office by filling it out at home. If you have any questions on the form, you can skip that part until you come in for your appointment, or give us a call. We will answer any questions you may have! We look forward to seeing you soon.

Please click on a form below to view, download or print it.

Welcome to Douglas Family Eyecare (print)

Contact Lens Agreement (print)

Vision & Medical Services (print)

HIPAA Notice of Privacy Practices (Read Only)

The Doctors

Dr. Chad J. Douglas

 Eye Care Professional
 

Dr. Diana M. Douglas

 Eye Care Professional

Contact Us

Drs. Chad & Diana Douglas
5000 E. Market St. Ste.#5
Warren, OH  44484
330-394-2020

Contact Us 

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Office Hours

Monday  

10:00 AM – 11:45 AM
1:00 PM – 7:00 PM

Tuesday   08:30 AM – 12:00 PM
Wednesday   08:30 AM - 06:00 PM
Thursday   08:30 AM - 04:00 PM
Friday   08:30 AM - 05:00 PM
Saturday   Closed
Sunday   Closed