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Online Patient Registration Form

Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office. This form contains confidential information and is delivered to your doctor through a secure Internet connection.

Welcome to Texas State Optical Keller

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Due to Covid-19, our office hours have been temporarily reduced. We are seeing emergency patients in our office and offering online services via Telehealth for other eye-related issues.

Stay tuned for updates.

Please contact the office at 817-431-4100 for more details or to schedule your appointment.

Thank you for choosing Texas State Optical in Keller. In good health. – Dr. Patel