Studio City Optometric Center
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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.

  • Patient Information Form
  • Privacy Policy

[NOTE: This PDF requires a free plugin that may have come included with your browser. If you are having difficulties opening this file Click Here to go to Adobe's web site for Acrobat Reader.]
patient_information_questionnaire.doc
File Size: 30 kb
File Type: doc
Download File

appointment_check_in_form.docx
File Size: 15 kb
File Type: docx
Download File

eyescreen_photographic_consent_form.doc
File Size: 32 kb
File Type: doc
Download File

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

Studio City
​Optometric Center

11307 Ventura BLVD
​Studio City, CA  91604
Temporary hours
due to the current Pandemic

Hours
Monday: 9 am - 5 pm
Tuesday: 9 am - Noon
Wednesday: 9 am - 5 pm
Thursday: Closed
Friday: 9 am - 5 pm
Saturday:  Varies - Call for Info
Sunday:  Closed
Contact Us
818-509-0828

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  • Eyecare Articles