6004 SW 9th Street Des Moines, IA 50315
515.287.0820 fehcenter@qwestoffice.net

Patient Center

What You Need to Know

At Family EyeHealth Center, we believe in continual improvement of our services. Please take a few moments and share your experience with our office. We appreciate your feedback!

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Patient Center Online Forms

Speed up your visit by completing the necessary form(s) below. For your convenience, you can either fill the form(s) out online or download and print the form(s) and bring it with you to your appointment.

Patient Information Form - Download & Print

Medical History Questionnaire - Download & Print

History & Medication List - Download & Print

Medical Records Release (New Patients Only) - Download & Print

Privacy Policy - Download & Print

Acknowledgment of Receipt - Download & Print


Payment Options

At Family EyeHealth Center, our mission is to provide quality service and products at reasonable pricing. We accept the following payment methods:

  • Cash
  • Check
  • Visa, MasterCard, and Discover
  • Flexible Spending Plans
  • Health Savings Accounts (HSA)

Participating Insurances
Our practice accepts most insurance plans. Coverage may vary from one plan to the next. Please call our office to verify your benefits before your visit.