If you have problems with dry and irritated eyes, please print out this form, complete, and bring it with you to your eye exam. Dr. Savochka or Nguyen will discuss a treatment plan tailored to your specific problem.
Lincoln Court Shopping Center 215 W Lancaster Ave, Ste F5 Frazer, PA 19355 Tel: (484) 318-7851 Fax: (484) 318-7849 email: pinnacleeyecare@gmail.com
