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Eyecare Since 1968

5118 Park Avenue, Suite 101, Memphis, TN 38117

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Patient Forms

To save time the day of your appointment, please download and fill out the Patient Packet and email to: or bring it with you.

Get Adobe Reader Note: These files are in PDF format. If you do not have Adobe® Reader®, you can download it for free by clicking here or on the Get Adobe Reader icon.

Payment Options

We accept most major credit cards.

CareCredit® For Treatment And Care

Carecredit logoIt’s something you’ve always wanted to do, but something else was always there to hold you back. Well, not anymore. We offer CareCredit, a card designed specifically for your healthcare needs. CareCredit can help you move forward with getting the procedure you’ve always wanted. With minimum monthly payment options, no up-front costs and no prepayment penalties, you can get your procedure sooner.

Your healthcare Credit Card

CareCredit is the credit card exclusively for healthcare services. With monthly payments every time you use it, you can use your card over and over for follow-up appointments or different procedures. This means you don’t have to put your health on hold until you save up enough money. We give you the power to decide when it’s the right time for you.

With CareCredit, you can:

  • Get the treatment, procedure, or product you want, when you want it
  • Enjoy minimum monthly payments
  • Pay no up-front costs or pre-payment penalties

Share The Care

What Is Share The Care?

Share the Care is East Memphis Optometry’s referral program designed to reward our current patients for increasing awareness with their family, friends and acquaintances of East Memphis Optometry’s thorough, high quality, professional eye examination using the latest instruments that help in disease detection as well as offering a wide selection of products supporting superior vision. Because you care enough to refer new patients to East Memphis Optometry, we are pleased to reward you with a $20 Reward Certificate each time a referred new patient provides your name on their registration paperwork.

What Are Reward Certificates?

When a new patient provides your name on their registration paperwork, a $20 Reward Certificate will be emailed to you. The rewards are non-transferable and may only be used toward your purchase of a complete pair of eyeglasses (frame and lenses) or sunglasses. The rewards cannot be used toward professional fees including exam charges, retinal photographs, contact lens or contact lens fittings fees. Reward certificates must be redeemed at time of purchase, cannot be used toward prior purchases and cannot be redeemed for cash and may not be used when claiming insurance benefits.

How Many Reward Certificates Can Be Earned?

There is no limit on the number of $20 rewards you can earn. The more patients you refer, the more rewards you will receive; however, keep in mind the referred patient must place your name on their paperwork and the rewards expire 6 months from the date of issue.