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Online Forms

At Eye Institute of Southern California, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReaderĀ® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

Forms

Here are forms you can download and print below. Let us know what questions, concerns, and goals you have regarding your eye health or vision on the form.

New Patient History Form

New Patient Registration Form

Privacy Policy

Notice of Privacy Policy

Dilation Consent


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Our Location

Office Hours

Monday:

9:00 AM-5:00 PM

Tuesday:

9:00 AM-5:00 PM

Wednesday:

9:00 AM-5:00 PM

Thursday:

9:00 AM-5:00 PM

Friday:

9:00 AM-5:00 PM

Saturday:

Closed

Sunday:

Closed