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New Patient Sign-up Form
new patient signup

Our New Patient Sign-up Form is available below for your convenience. If you are a new patient and plan to be visiting us soon, you can print this form, fill it out and bring it with you on your next visit.

Click on the links below to view and print the form as an image
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Announcements
Sweetheart of a Deal
During the month of February, get a $40 credit toward the purchase of glasses with any contact lens purchase.*
*No other savings or insurance applies toward glasses. 
Office Hours
Regular Office Hours are Mondays 9:30 am to 7:00 pm
Tuesdays, Thursdays and Fridays 9:00 am to 5:00 pm
Saturdays 8:30 am to 12:00 pm.  The office is closed on Wednesdays. 
Optometrist of the Year
Dr. Kerber is the St. Louis Optometric Society's 2010 Optometrist of the Year! 
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Serving St. Louis County, St. Louis City, Florissant, Hazelwood, University City, Clayton, Chesterfield, Ballwin, Manchester, St. Charles, St. Peters, O'Fallon, Black Jack, Bridgeton, Calverton Park, Ferguson,Berkeley,Missouri, Illinois, the United States and abroad.
(63031, 63030, 63011, 63017, 63033, 63034, 63042, 63044, 63074, 63134, 63135, & 63136)