• Our Mission is excellence in patient care, clinical education, and research.
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• Eye Care Home

• News and Events
• Make an Appointment
• Maps and Directions
• Patient Forms
• Our Doctors

• Referring Doctors

Services we offer

• Clinical Research
  • General Information
• Contact Lenses
  • General Information
  • Specialty Contacts
  • Dry Eye Institute
  • Our Doctors
• Low Vision Rehab
  • General Information
  • What is Low Vision?
  • LV Rehab
  • LV Technology
  • Other Services
  • Our Doctors
• Ocular Disease
  • General Information
• Optical Services
  • General Information
• Pediatric Vision Care
  • General Information
  • Youth Exams
  • Contact Lenses
  • Special Needs
  • Eye Conditions
  • Eye Safety
  • Our Doctors
• Primary Eye Care
  • General Information
• Vision Therapy
  • General Information
  • Visual Efficiency
  • Visual Processing
  • Strabismus/Amblyopia
  • Our Doctors

• Southern California
  College of Optometry
• Optometric Center
  of Los Angeles
• The Low Vision Council

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Patient Forms

• Pre-Visit Forms

Save yourself some time by printing and completing these forms (below). Please bring the completed forms with you when you come for your eye appointment.

Please click on the links below to download our forms in PDF format.

• Print and complete one of these forms:
  • Patient Information Form
  • Información del Paciente

• Print and complete this form:
• Health History & Lifestyle Questionnaire
• Historia Médica y Estilo de Vida

• Information Forms:
  • Financial Policy
  • Politicas Financieras
  • Privacy Notice
  • Aviso sobre prácticas de privacidad

Eye Care Center, Southern California College of Optometry 2010