Online Forms

At Mason Family Vision, 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.

Download the required form(s). Print out the form(s) and complete the required information. Then you may:

  • Fax your completed form(s) to our office fax number (803) 865-5496  OR
  • Send a photo of your completed form(s) by texting to  (803) 865-5520


PreScreening Form to Enter the Building  (This is required from all individuals entering the building)

New Patient Forms  (This is required from all patients that have not received an exam in the past 3 years)

Established Patient Forms  (This is required from all patients that have received an exam within 3 years)


Additional Forms: 

OPTOMAP Retinal Imaging

Current Medications List

Medical Records Release

Click here to access secure patient portal

Click here to read Notice of Privacy Practices


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Locations

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Hours of Operation

BLUE BOX Curbside Pick Up / Drop Off Available

Monday:

8:30 am-5:30 pm

Appointment Only

Tuesday:

8:30 am-5:30 pm

Appointment Only

Wednesday:

8:30 am-5:30 pm

Appointment Only

Thursday:

8:30 am-5:30 pm

Appointment Only

Friday:

8:30 am-1:00 pm

Appointment Only

Saturday:

Closed

Sunday:

Closed