Leon Kosek, O.D. and Judith Walsh, O.D.
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Patient Forms help us understand your eyecare needs
​ Please complete  medical history and insurance Forms at home before your initial visit to save time in the office
thank you

​


Medical History
File Size: 864 kb
File Type: pdf
Download File

Insurance and Privacy Forms
File Size: 601 kb
File Type: pdf
Download File


Infant See Medical History
File Size: 56 kb
File Type: pdf
Download File


Contact Us
21237 South LaGrange Road
Frankfort, IL 60423
Phone: 815-469-8541
Office Hours
Mon   11:45 - 6:00 pm
Tue     8:45 am - 4:00 pm
Wed   7:45 am - Noon
Thurs  Closed
Fri       8:45 am - 4:00 pm
Sat     by appointment only


​Notice of Privacy Practices

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  • Home
  • Our Services
  • Patient Forms
  • Promotions
  • Eye Care Articles
  • Shop Online
  • Links
  • Location
  • Schedule an Appointment Online