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🏡 3737 Moraga Ave Suite A-105 San Diego, CA 92117
   Phone: 858-273-0200 |    Fax: 858-273-0619

LASIK | Cataract Surgery | Eye Care

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Home » Patient Forms

Patient Forms

New Patient Forms . PDF – Print before your visit

Includes our Patient Information, Eye and Medical History, Financial Disclosure, and Medical Release Forms

COVID-19 Waiver . PDF – Print before your visit

This is a patient attestation statement for all patients seen in our clinic

Snellen Visual Acuity . PDF – Print for telehealth visits

This is a printable vision chart used for telehealth appointments

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