HAYLEY EYE CLINIC
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PATIENT FORMS

SCHEdule  your  appointment

If you'd like to schedule an appointment please call or text one of our four convenient locations:
Hayley Eye Clinic of Wichita Falls (Kemp): 940-723-2020
Vision Source of Wichita Falls (Elliott): 940-233-4803
Matlock Optical (Graham): 940-549-1621
Hayley Eye Clinic of Vernon: 940-553-4328 



 ELECTRONIC  Form  Submission

Save time by submitting everything online! Use one of our easy click buttons below to send over your forms in an instant!
Glasses Replacement Form Wichita Falls
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1901 Kemp Blvd
​Wichita FAlls, TX 76309

Hayley Eye Clinic is a family owned eye care practice serving North Texas for more than 80 years.

Contact Us

Call or Text us Today!
940-723-2020
  • Home
  • Our Practice
  • Locations
  • Frames & Lenses
  • Patient Forms
  • Pay Your Bill