Ada, MN

218-784-4091

Grand Forks, ND

701-775-3135

Hallock, MN

218-843-2663

New Providence Office

5552869999

Northwood, ND

701-587-5502

Hallock, MN 218-843-2663
Grand Forks, ND
701-775-3135
Ada, MN 218-784-4091

Online Forms

At Valley Vision, 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.

Download & Print Form

Valley Vision Clinic Notice of Privacy Practices


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