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Home » Hours & Directions » Online Patient Registration Form

Online Patient Registration Form

Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office. This form contains confidential information and is delivered to your doctor through a secure Internet connection.

Texas State Optical Killeen

 
Appointment Form

(254) 220-4932 ▸

Take Me There

Our Location

2806 South W. S. Young Drive Ste A
Killeen, TX 76542

We wish you and your loved ones safety and wellness during these difficult and uncertain times.

Please call us at 254-634-4800. We are seeing patients on a limited in-office basis - if you have an urgent appointment or need, please do not hesitate to call us.

We are encouraging all patients to use our online booking to schedule their future appointments, as we expect a surge of requests post-crisis.