Online patient forms
Whether you are a new or exiting patient to our office, please click the link below to complete or review your personal information and medical history. Existing patients should contact the office to receive a passcode.
New patients should also review and complete the two forms below.
In-office patient forms
If you are a new patient to our office, save time by downloading and completing our intake forms to bring on your visit.
- Patient Intake Form
- Contact Lens Fitting Policy Form
- Notice of Privacy Practices and Financial Disclaimer Form
Contact lens rebates
Please click on the appropriate link below to submit your contact lens rebate. Call us at (510) 748-9749 if you have any questions.