COVID-19 Intake Form

  • Thank you for choosing the Sybesma Eye and Vision Center, where your health and safety is our primary focus. The AAO, AOA and other ophthalmology and optometry specific sources continue to share and update information regarding patient care, signs, symptoms and the ongoing efforts to understand and control the spread of COVID-19. To help protect our patients and staff against the spread of COVID-19, please answer the following questions:

  • If you have answered “YES” to any of the questions we are asking you to reschedule your appointment and contact your health care provider. We are practicing all preventative measures put forth by the Centers for Disease Control (CDC), including the use of alcohol and bleach -based disinfectants that are commonly used by Optometrists to disinfect our instruments and office furniture. The same disinfection practices already used to prevent office-based spread of viruses are happening before and after every patient encounter. We are anxious to serve you and appreciate your understanding of our new social distancing protocols at this time.

  • This field is for validation purposes and should be left unchanged.

Office Hours & Info

  • Monday
  • 7:00am - 5:00pm
  • Tuesday
  • 8:00am - 7:00pm
  • Wednesday
  • 8:00am - 5:00pm
  • Thursday
  • 8:00am - 5:00pm
  • Friday
  • 8:00am - 1:00pm
  • Saturday
  • Closed
  • Sunday
  • Closed

  • 1408 43rd Street
  • Maquoketa, IA
  • 52060