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At Dr. Obermark Eye Health Care, 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.


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


In order to download and print forms:

  • 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.

Download the Free AdobeReader®

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Sikeston 573-471-1080   Poplar Bluff 573-785-6717

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Office Hours and Locations

Mon - Fri 9am 5pm

Sikeston: 573-471-1080

Poplar Bluff: 573-785-6717

In case of emergency after hours, please call: (573) 620-2020