Phone: (314) 432-6137 | Email: info@despereseyecenter.com
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Glasses

Buy one frame and receive your second frame at half price.

Visit the Optical Shop

Patient Forms

New Patient Instructions

Thank you for choosing our practice! We know your time is valuable. To help facilitate your visit, click here for our new patient forms. Please print, fill out, and sign each form in the appropriate places. We look forward to seeing you soon.

Please bring to your appointment:

  • The completed new patient forms
  • Your most recent insurance cards
  • Form of ID
  • Medication list
  • Your current glasses and contact lens information

For your information, please click here to view our Notice of Privacy Practice.


Established Patient Instructions

Please click here to download forms for your annual/semi-annual visit. Please print, fill out, and sign each form in the appropriate places, and bring the completed forms with you to your appointment.

If you have updated your medical history and registration within the last year, you do not need to complete these forms.

Please bring to your appointment:

  • Your most recent insurance cards
  • Form of ID
  • Updated medication list

For your information, please click here to view our Notice of Privacy Practice.