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Patient Forms

Please download, print and complete "Medical History Questionnaire" at home so that you can take your time completing this information before you visit us. Once you've completed it, please bring it with you to our office. You should simply hand it to Yolanda when you check in. Thank you

• Registration Form
• Patient Medical History Questionnaire
• Financial Policy

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Languages Spoken

Our staff speaks English, Spanish, Chinese, Mandarin Chinese.

Insurance Plans

We participate with VSP , Eye Med and Medical Eye Services.

Other major medical insurance carriers may cover our services for medical eye conditions like eye injuries, dry eyes, pinkeye, glaucoma, macular degeneration, and cataracts. We are currently on insurance panels for, Blue Cross P.P.O., Cigna, Health Net, Medicare, Aetna and others. Please bring your medical insurance coverage card with you to your examination. We will do our best to help you use your insurance coverage to its fullest so that you can reduce your out-of-pocket costs as much as possible.

 

Accepted Forms of Payment Insurances We Accept