Patient Forms
Downloadable patient forms that you can print and fill out before your next visit to Tri-County Eye Care – serving Galva, Kewanee, and surrounding communities.
For your convenience, we have created the following pages to provide you with a list of the insurance carriers we accept at our Galva optometric office, as well as several downloadable forms to save you time at your next appointment.
Downloadable Forms
- New Patient Form [PDF]
- Notice of Privacy Practices [PDF]