Michael Ringel, O.D.
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  • Our Practice
    • Meet the Staff
    • Optical Boutique
    • Location
    • Job Openings
  • Our Services
    • Children's Vision
    • Contact Lens Services
    • Diabetic Eye Care
    • Glaucoma Care
    • Myopia Care
    • New Technology
    • Special Events
    • Stylish New Frames
    • Testimonials
  • Patient Forms
    • Make an Appointment
  • Order Contacts
  • Online Bill Pay
  • Eye Care Info
    • Eye Care Videos >
      • What is Dry Eye?
      • Reducing Nearsightedness
      • Anti-Reflective Lenses
      • Prevent Blindness Caused by Diabetes
      • What are Vitreous Floaters?
    • Eye Care Articles
    • FAQs by Dr. Ringel
    • Newsletters

Patient Forms

Download Welcome Form
File Size: 12 kb
File Type: pdf
Download File

Visual Field Test
File Size: 23 kb
File Type: doc
Download File

Download Medical History Form
File Size: 52 kb
File Type: pdf
Download File

Download Office Guidelines Form
File Size: 30 kb
File Type: doc
Download File

Acknowledgement of Privacy Policy Form
File Size: 13 kb
File Type: docx
Download File

We ask all new patient to take a few moments to download these five forms, fill them out and then bring them to their appointment.  This greatly facilitates your registration upon arrival to our office.  If you are unable to keep your appointment kindly notify the office 24 hours in advance.  

​Thank you.
Contact Us
1003 Harrison Ave., Suite 100
Harrison, OH 45030
Phone: 513-367-7900
Office Hours
Mon    9:00 am - 6:00 pm
Tue     9:00 am - 7:00 pm
Thu     9:00 am - 6:00 pm
Fri       9:00 am - 5:00 pm
Sat      9:00 am - Noon
Notice of Privacy Practices
Website by Eyefinity
  • Home
  • Our Practice
    • Meet the Staff
    • Optical Boutique
    • Location
    • Job Openings
  • Our Services
    • Children's Vision
    • Contact Lens Services
    • Diabetic Eye Care
    • Glaucoma Care
    • Myopia Care
    • New Technology
    • Special Events
    • Stylish New Frames
    • Testimonials
  • Patient Forms
    • Make an Appointment
  • Order Contacts
  • Online Bill Pay
  • Eye Care Info
    • Eye Care Videos >
      • What is Dry Eye?
      • Reducing Nearsightedness
      • Anti-Reflective Lenses
      • Prevent Blindness Caused by Diabetes
      • What are Vitreous Floaters?
    • Eye Care Articles
    • FAQs by Dr. Ringel
    • Newsletters