New Patient Center

New Patient Center

  • Contact information and medical history:

  • LINK
  • Signature on file to use insurance:

  • LINK
  • Contact lens acknowledgement:

  • LINK
  • Consent to be contacted by email and text:

  • LINK
  • Release of contact lense prescription acknowledgement:

  • LINK


​​​​​​​Please call our office to receive your paperwork to fill out online prior to your appointment.

Roya1234 none 9:00 AM - 5:00 PM 9:00 AM - 5:00 PM optometrist # # # 1600 Montclair Rd
Birmingham, AL 35210 2059513268 9:00 AM - 5:00 PM Closed 9:00 AM - 5:00 PM 9:00 AM - 6:00 PM 9:00 AM - 5:00 PM Closed Closed https://goo.gl/maps/hbbZ4xTjgHXM8Utu6 9248 Parkway East
Birmingham, AL 35206 2058333171 brian@brianpettieeyecare.com 9:00 AM - 5:00 PM Closed Closed Closed 9:00 AM - 5:00 PM Closed Closed https://goo.gl/maps/7U8K8JKgiDE6Y6AU8