Huntley Eye Care
New Patient Registration Form

Thank you for scheduling your comprehensive eye examination with our office. We look forward to taking care of your eye care needs.

Please use the passcode emailed to you at scheduling to log in and fill out our online patient registration form.

Completing the form now will save you time and make the administration process on the day of your appointment more efficient.

If you do not have a passcode please contact our office at (847) 515-2030 to schedule an appointment and a passcode will be assigned to you.