OPTOMETRIC ASSOCIATES, DRS. GLOSIK & GLOSIK
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    • No Vision Plan? We can help.
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    • Designer Eyewear
    • No Hassle Warranty
  • Glasses for $189
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Patient Forms

Please fill in the New Patient Welcome Form, one for adults and one for children. 
Please fax the forms to (216) 642-7383, email to OA@drsglosik.com, or bring them to your appointment.  
Thank you and we look forward to seeing you!

oa_welcome_form___history_12_22.pdf
File Size: 298 kb
File Type: pdf
Download File

Pediatric_oa_welcome_form.pdf
File Size: 292 kb
File Type: pdf
Download File


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Contact Us
Optometric Associates LLC
​ Drs. Glosik, Glosik, Andler & Cerny
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 Saturdays month)
Notice of Privacy Practices

  • Home
  • Location
  • Eye Exams, Contacts, Optomaps
    • No Vision Plan? We can help.
  • Our Team
  • Eyeglasses
    • Designer Eyewear
    • No Hassle Warranty
  • Glasses for $189
  • What Our Patients Say
  • Patient Forms
  • Eye Care Articles
  • Privacy Policy