Patient Forms

To make your visit go smoothly with effective use of your time we ask that you be prepared for your visit.

When you schedule your appointment, either online or by phone, you will have the opportunity to save time at your next office visit. When you provide your email address you will receive the initial patient paperwork to complete prior to your arrival. Complete the forms listed below prior to your visit to save even more time.

Patient Medical Form

Digital Retinal Photography Consent Form

Notice of Privacy Practices (review online prior to visit)

Please bring your insurance card and a photo ID, such as a license, for each office visit.

Please note our policy regarding payments due at the time of the visit prior to your visit. 

 Contact us with any questions you may have or to  schedule an appointment.

Please call 717.266.5661 for emergencies or after hours.


Wheatlyn Eye Care
234 Rosedale Drive
Manchester, PA 17345


Monday8:00am - 6:00pm
Tuesday9:00am - 5:30pm
Wednesday8:00am - 6:00pm
Thursday9:00am - 5:00pm
Friday9:00am - 5:30pm
Saturday8:00am - 12:00pm*
*Office closed 1st and 5th Sat.