Patient Forms
Please fill out the following patient information forms and bring them with you to your first visit. Signing "Acknowledgment of Receipt of Privacy Practices" on the form signifies that you have read the Privacy Policy, listed below.
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- Patient Information Form
- Privacy Policy
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| patient_information_questionnaire.doc |
| appointment_check_in_form.docx |
| eyescreen_photographic_consent_form.doc |
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Studio City Optometric Center
11307 Ventura Blvd. Studio City, CA 91604 818-509-0828 Email Us drreb1@sbcglobal.net |
Temporary Hours:
Mon: 9am - 5pm Tue: 9am - Noon Wed: 9am - 5pm Thur: Closed Fri: 9am - 5pm Sat: Varies - Call For Info Sun: Closed |