Serving Jackson, MI for over 21 years

Schaff Vision Care - Eye Care | Jackson, MI facebook logo-blue twitter logo-blue box
Portrait of family of people wearing eyeglasses

Below you will find the form to fill out before your first visit with Schaff Vision Care of Jackson, MI. Feel free to download the form and fill it out before your visit to save yourself some time in our waiting room. If you have any questions please do not hesitate to call!

Happy mother and daughter

My entire family has glasses or contacts from Doctor Schaff. The entire team at his office is first rate, professional and pleasant. I would never go anywhere else.


- Matthew Herbert,

Google review

Click on the button below to download the form.

Medical History Form

Save Yourself Some Time!

Medical History