Dry Eye Evaluation

How Often do you have ...?
Redness
Sandy or Gritty Sensation
Itching
Excess Watering
Burning
Excess Mucous
Blurred Vision
Are your eyes sensitive to ...?
Smoke
Light
Air Pollution
Wind
Heaters
Air Conditioning
Contact Lenses
How often do you use ...?
Anti-Depressants
Redness Reducing Eye Drops
Decongestants
Antihistamines
Blood Pressure Medication
Artificial Tear Drops
Hormones
Oral Contraceptives
Diuretics
Ulcer Medication
Tranquilizers
Beta Blockers
Incontinence Therapies
Average daily computer time
Hours
Have you ever been diagnosed with…?
Thyroid Abnormalities
Rheumatoid Arthritis
Asthma
Diabetes
Glaucoma
Are you…?
Over 45
Post-menopausal
Considering refractive surgery
Do you…?
Experience Contact Lens discomfort
Get eyestrain
Blink your eyes excessively
As an Adult…?
Have you had blemishes on your face?
Total:

Insurance

We are providers for the following insurance plans If you do not see your insurance plan below, please contact us, as this list is not all inclusive. If you make an appointment by phone, please have your insurance information available. Remember, Vision and Medical insurance are not one in the same. Please contact your human resources department with any questions prior to giving us your insurance information.
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forsight eye center

Dr. Thao Truong, Optometrist
Your Eye Doctor in Cumming, GA

Office Address: 975 Peachtree Parkway Suite A Cumming, GA 30041
Phone: (678) 208-2375
Fax: (678) 208-2379

Hours of operation

Monday8:30AM - 5:00PM
Tuesday8:30AM - 1:00PM
Wednesday8:30AM - 5:00PM
Thursday8:30AM - 5:00PM
Friday8:30AM - 1:00PM
WeekendClosed
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