Patient Forms

Please fill in both forms included in the New Patient Welcome Form download.
You may fax them to (216) 642-7383 or email to OA@drsglosik.com, or bring them to your appointment.  

New Patient Welcome Form
File Size: 310 kb
File Type: pdf
Download File
Contact Us
Optometric Associates LLC
​ Drs. Glosik, Glosik, & Andler
7305 Broadview Road, Suite F
Seven Hills, OH 44131
Phone: 216-642-7373
Office Hours
Mon    9:00 am - 5:30 pm
Tue     9:00 am - 6:30 pm
Wed   9:00 am - 5:30 pm
Thu     9:00 am - 6:30 pm
Fri       9:00 am - 5:30 pm
Sat      8:30 am - 12:30 pm (open 2 Sats a month in 2020)
Notice of Privacy Practices