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Online Forms

At Eyecare Associates Optometric Group, 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 AdobeReader® 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.

Patient Information Form - Download & Print

Medical History Form - Download & Print

Financial Policy Form - Download & Print


Download the Free AdobeReader®

Contact Us

We look forward to hearing from you.

Location

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Our Hours

Emergency On-Call Services, 24/7

West Covina Office

Monday:

9:00 am-7:30 pm

Tuesday:

9:00 am-6:30 pm

Wednesday:

10:00 am-7:30 pm

Thursday:

9:00 am-5:30 pm

Friday:

9:00 am-4:30 pm

Saturday:

9:00 am-12:00 pm

Sunday:

Closed