Patient forms
In Baldwin Park and the San Gabriel Valley
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Complete your forms before your visit so we can spend your time on your eyes, not paperwork.
Forms to complete before your visit
Filling out your forms before you arrive helps us expedite your visit and keep your medical record accurate. Most importantly, it lets us focus on what matters most, your eyes.
Our forms
New Patient Intake Form
This form is for patients who have already made initial contact with our office. Please complete it at least 72 business hours before your visit.
Download the intake form
Notice of Privacy Practices
How we use and protect your health information.
Download the notice
For referring doctors
Doctors can refer a patient online or with our fillable referral form.
Referral forms
Take the next step. It’s easy.
Related care to consider
Let’s take care of your eyes
Call, text or request an appointment online. We verify your insurance before your visit.
3000 Big Dalton Ave, Baldwin Park, CA 91706 ยท Monday to Friday, 8am to 5pm, and some Saturdays