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Patient Forms

What to bring to your exam (first time patients):
1. All current glasses (including computer glasses, reading glasses, sunglasses, etc)
2. A list of all medications you are taking

If you wear contact lenses (all patients):

1. Your contact lens prescription or your contact lens specifications (boxes/vials/labels) if available
2. Current glasses and sunglasses
3. Please wear your contact lenses to your appointment unless you are having problems with the lenses

*If you have an illness/cold or think you might be on the verge of a one, please be so kind as to reschedule.

**Missed Appointment Policy Notice:
Each time a patient misses an appointment without providing proper notice, another patient is prevented from receiving care. Please kindly give 24 hours notice if you need to reschedule an appointment to avoid a missed appointment fee. Thank you for your understanding and cooperation as we strive to best serve the needs of all of our patients.

New Patient Form: English

Return Patient Form: English

Zeiss Wellness Exam: English

New Patient Form: 日本語

Return Patient Form: 日本語

子供の視力低下が見られる場合、どうしたらよいでしょう: Japanese

Newspaper articles: 日本語

Notice of Privacy Practices

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Monday — Thursday
9:30 AM — 5:30 PM
Friday: 9:30 AM — 5:00 PM


Closed for Lunch: 3:00PM-4:15PM

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