DUBIN OPTOMETRIC CLINIC
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Medical History Questionnaire
Medical History Questionnaire:  
Please fill out and bring the MHQ form to your appointment along with any medical and vision insurance cards.


The eyes are a "window to the body" and understanding your Medical History can help our doctors provide the best possible eye care. 

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Contact Us:
Dubin Optometric Clinic - NEW LOCATION!
37085 Grand River, Suite D
Farmington, MI 48335
248-579-8271
dubinoptometric@gmail.com
Office Hours:     
Monday 9:00-5:30
Tuesday 9:00-6:00
Wednesday 9:00-3:30
Thursday 9:00-8:00
Friday 9:00-5:30
Saturday 8:00-1:00
Notice of Privacy Practices
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  • Home
  • Our Practice
  • Our Services
    • Warranty / Exchange
  • Patient Forms
  • Our Frame Offerings
  • Eye Care for Children
  • Location