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Online Forms

At PECK OPTICIANS INC, 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


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Contact Us

Office Hours

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

9:00 am-6:00 pm

Friday:

9:00 am-6:00 pm

Saturday:

Closed

Sunday:

Closed

  • "If you are looking for great personal service as well as quality you need Peck Opticians. I have been a customer for 15 years and have never walked out the door feeling like my eye needs have not been meet or my questions not answered. Check them out. I don't think you will be disappointed!"
    Dawn R.
  • "If you prefer local family-run businesses over corporate chains, Peck Opticians is for you! Very personal customer service from experienced opticians. I cannot recommend them highly enough. 6 stars!"
    Peter D.
  • "I have been a customer for approximately 25 years and there are no other places in Lexington to compare to Peck Opticians. Dennis has helped me with a lot of eye issues. This is the best Optical business in Lexington."
    Cassie R.