Online Forms

At Vision Source of Alexandria, we value your time. You can print and fill out the following form prior to coming to your appointment or fill out the form online and email it to us.

  • You will need AdobeReader® to download and complete the forms. Download the Free AdobeReader®
  • 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.

Patient Registration Form – Required

Download & Print Form

If you have any questions, please do not hesitate to contact our office by calling (318) 442-7787.



Schedule Your Eye Exam Online

Hours of Operation

Our Regular Schedule

Pineville Office (Tioga)

Monday

Closed

Tuesday

8:00 am - 5:00 pm

Wednesday

Closed

Thursday

Closed

Friday

8:00 am - 12:00 pm

Saturday

Closed

Sunday

Closed

Alexandria Office

Monday

8:00 am - 5:00 pm

Tuesday

8:00 am - 5:00 pm

Wednesday

8:00 am - 5:00 pm

Thursday

9:00 am - 5:00 pm

Friday

8:00 am - 12:00 pm

Saturday

Closed

Sunday

Closed

Pineville Office (Tioga)

Monday
Closed
Tuesday
8:00 am - 5:00 pm
Wednesday
Closed
Thursday
Closed
Friday
8:00 am - 12:00 pm
Saturday
Closed
Sunday
Closed

Alexandria Office

Monday
8:00 am - 5:00 pm
Tuesday
8:00 am - 5:00 pm
Wednesday
8:00 am - 5:00 pm
Thursday
9:00 am - 5:00 pm
Friday
8:00 am - 12:00 pm
Saturday
Closed
Sunday
Closed

Locations

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We look forward to hearing from you