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At Moody Eyes, 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.

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

Download & Print Form


Download the Free AdobeReader®

Exclusive Offer

New Patients Receive $50 OFF* Complete Pair of Glasses

*Cannot be combined with insurance

THIS ---->https://moodyeyes.imatrixbase.com/online-forms.html

Southside/Greenwood

Day Morning Afternoon
Monday 9:00am 6:00pm
Tuesday 9:00am 6:00pm
Wednesday 9:00am 6:00pm
Thursday 9:00am 6:00pm
Friday 9:00am 5:00pm
Saturday Closed. Closed
Sunday Closed Closed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00am 9:00am 9:00am 9:00am 9:00am Closed Closed
6:00pm 6:00pm 6:00pm 6:00pm 5:00pm Closed Closed

Downtown

Day Morning Afternoon
Monday 9:00am 6:00pm
Tuesday 9:00am 6:00pm
Wednesday 9:00am 6:00pm
Thursday 9:00am 6:00pm
Friday 9:00am 5:00pm
Saturday Closed Closed
Sunday Closed Closed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00am 9:00am 9:00am 9:00am 9:00am Closed Closed
6:00pm 6:00pm 6:00pm 6:00pm 5:00pm Closed Closed

Uptown

Day Morning Afternoon
Monday 9:00am 6:00pm
Tuesday 9:00am 6:00pm
Wednesday 9:00am 6:00pm
Thursday 9:00am 6:00pm
Friday 9:00am 5:00pm
Saturday Closed. Closed
Sunday Closed Closed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00am 9:00am 9:00am 9:00am 9:00am Closed Closed
6:00pm 6:00pm 6:00pm 6:00pm 5:00pm Closed Closed

Testimonial

Very, very satisfied with my visit! I recently moved to Indianapolis and needed to get some new glasses and try contacts for the first time. The office was easy to make appointments with, and the doctor (Amy) was EXTREMELY friendly and knowledgeable. I was able to get the contacts I needed, as well as lenses put into a pair of glasses I purchased online. -- All at an affordable price.

Amy V. / Indianapolis, IN

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