Patient Registration Form

Phone: <a class="ecp-phone-call-phone" href="tel:(509) 213-1144" style="text-decoration:none"> (509) 213-1144
Email: info@drwylie.com (Do not send personal health information by email.)

Name: Advanced Eyecare & Therapies
Address: In the Tapio Center, 104 S Freya Street Suite 220, White Flag Bldg, Spokane, WA, 99202, US
Telephone: (509) 213-1144
Price range: $000 - $300

Choose from the forms below to download the printable PDF. Please print & fill them out before coming to our practice.

Please be advised that road construction on 2^nd Ave and 3^rd Ave between Freya and Thor will begin March 25, 2024 through Fall 2024. Please check for updates prior to your appointment.