Home >> Resources >> New Patient Forms >> New Patient Forms

Patient Testimonials

Testimonial-141

"Hello, my name is Nancy and I have been a patient here for a few years. And, I always feel very comfortable when I come in. They are very tender, and they have never?ending care. And they're always a lot of fun,  especially certain people. And, I don't worry about cataracts or anything because I know I'm in the best of hands."

- Nancy

Back to Default Size Increase Font Decrease Font
Message
  • The file is not available on the server
New Patient Forms
We will need you to read and complete the forms below at your first visit. In order to make your visit with us as pleasant as possible we have provided these forms below. We encourage you to print out these forms and complete them prior to your visit. Please give us a call at (626) 289-7856 if you have any questions regarding these forms.

DocumentsDate added

Order by : Name | Date | Hits [ Ascendant ]
file icon Privacy PolicyTooltip 08/12/2008 Hits: 1933
Our Privacy Policy
file icon Patient SurveyTooltip 10/06/2008 Hits: 1582
file icon Patient Medical History RecordTooltip 08/12/2008 Hits: 1529
What we will need to know about your general health when you arrive
file icon Financial Policy - PPOTooltip 08/12/2008 Hits: 1685
If you have PPO Insurance
file icon Financial Policy - MedicareTooltip 08/12/2008 Hits: 1615
If you have Medicare Insurance
If you have HMO Insurance or No Insurance
file icon Consent for DilationTooltip 08/12/2008 Hits: 1761
Consent for Dilation