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	Vision Care Associates now offers online appointment requests. Please select which option is most convenient for you. Patient Forms can be downloaded in a Microsoft Word document, PDF format or Apply ONLINE! When applying online please select which location you would like your form sent to. If you have any problems or questions when filling out the form please call (605) 225-2020 or TOLL FREE 1-800-287-5020.

	Download Patient Form in Microsoft Word Format

	Download Patient Form in PDF Format

	To Fill out the Patient Form Online Please Select Location:
	Aberdeen	Platte
	Britton	Redfield
	Eagle Butte	Sioux Falls (37 St.)
	Eureka	Sioux falls (Downtown)
	Freeman	Tea
	Gettysburg	Wagner
	gregory	Watertown
	Huron	Webster
	Miller	Yankton, SD
	Mobridge	Bloomfield, NE
	Parker	Plainview, NE
	Parkston