Patient Info Form

If you are scheduled for an appointment in our office, print and complete this form and bring it with you. Please be thorough, as this information is used by the doctor to manage your care, and by the bookkeeper to bill your insurance(s) appropriately and minimize any out of pocket expense.

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  • Our practice specialty lies in the treatment and management of degenerative corneal conditions like Keratoconus. Using our in-office laboratory and expertise, we are able to offer distinct advantages to the Keratoconic patient, which will translate to optimal visual acuity and comfort.

    Keratoconus Treatment

  • Are there any alternatives for correcting vision besides refractive surgery? What if we could non-surgically change corneal shape in a controlled manner while the patient sleeps, resulting in excellent visual acuity during waking hours without the use of glasses or daytime contact lenses? We can!

    Corneal Reshaping

    • I have been a patient of this office for over three years. My experience has been nothing short of spectacular. I have always been welcomed with a warm and friendly attitude. If you are looking for an excellent eye physician, this is the best place for you to be – you will not regret it.

      - Terry C.
    • I always recommend the office to my family, friends and co-workers. If Dr. Rembleski and staff can custom fit contacts for me, they can custom fit most anyone for contacts.

      - Vicki P.
    • I have a pretty high prescription and over the years I had accepted that I just wasn’t going to have stellar vision. But I had no idea how clear and sharp my vision could be until I tried RGP lenses. I’ve been wearing RGP lenses for four years and couldn’t be happier.

      - Amy M.
    • The staff is friendly, helpful and courteous and Dr. Rembleski shows true concern for my well-being. He is knowledgeable and stays current on research while offering the latest products available. River City Doctors of Optometry is the perfect place for your eye care!

      - Donna T.
    • Thank you for your 15 years of fabulous service to my family and me! I love seeing all of you…Pam, Dr. R, Dr. L., Fred, etc. etc. (wonderful staff). You’re like family. Thanks again for your kindness!

      - Patty G.