Patient Forms

Entry Form
Health History Form

Please print and fill out the Entry Form and Health History Form prior to your eye examination. This will ensure an expedited processing of your paperwork. We thank you for your cooperation.

Hours

San Bernardino

Rancho Cucamonga

Monday 10:00AM - 6:00PM

Tuesday 10:00AM - 6:00PM

Wednesday 10:00AM - 6:00PM

Thursday 10:00AM - 6:00PM

Friday 10:00AM - 6:00PM

Saturday CLOSED

Sunday CLOSED

Monday 10:00AM - 6:00PM

Tuesday 10:00AM - 6:00PM

Wednesday 10:00AM - 6:00PM

Thursday 10:00AM - 6:00PM

Friday 10:00AM - 6:00PM

Saturday 10:00AM - 4:00PM

Sunday CLOSED

CONTACT US

keep in touch

Rancho Cucamonga: 7890 Haven Ave, Suite 17          San Bernardino: 2150 North Waterman Ave, Suite 201