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Welcome to Stewart Optometry Group, P.A.

To Book an Appointment:

Call our Garner office (919) 662-7553
Call our Smithfield office (919) 934-2705
Call our Dunn/ Erwin office (910) 892-8746

We Are Accepting New Patients!

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Home » Contact Us » Patient Medical History

Patient Medical History

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.