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Call Us Today

(601) 267-9351
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Exclusive Offer

We offer 20% off second pair of glasses or sunglasses.

Online Patient Information Form

Welcome to Carthage Eye Clinic! Please take a few moments to fill out the information below so that we are prepared for your upcoming visit!

Patient Information

Your email will not be shared with any 3rd parties and is used for occasional office announcements.

Mailing Address

Responsible Party Information

This information must be filled out if the patient is a minor, even if the patient has medical/vision insurance.

Insurance Information

Reason for Visit

Featured Services

Services
We strive to provide complete care for our patients. Learn more about all the services we provide.
Make An Appointment
We will do our best to accommodate your busy schedule. Schedule an appointment today!
Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.