Online Forms

At Broadway Eye Clinic, we value your time. In an effort to save you time in our office, you can download and complete our patient form prior to your appointment.


New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals you have regarding your eye health or vision on the form.

Submit Online Intake form




Send us a message

Our Location

Phone (801) 322-0467, Fax (801) 363-6053

Hours of Operation

We wish you a healthy and happy Thanksgiving! The office will be closed 11-26 through 11-29.

Salt Lake City

Monday:

8:00 am-6:00 pm

Tuesday:

8:00 am-6:00 pm

Wednesday:

8:00 am-6:00 pm

Thursday:

Closed

Friday:

Closed

Saturday:

Closed

Sunday:

Closed