Online Forms

At Resler-Kerber Optometry, Inc., we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required


Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

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Resler-Kerber Optometry, Inc.

Address

875 St Francois St
Florissant, MO 63031

Phone

314-839-2400

Monday  

9:30 am - 7:00 pm

Tuesday  

9:00 am - 5:00 pm

Wednesday  

Closed

Thursday  

9:00 am - 5:00 pm

Friday  

9:00 am - 5:00 pm

Saturday  

8:30 am - 12:00 pm

Sunday  

Closed

Exclusive Offer

New patients receive 15% OFF* first visit.