Insurance & Patient Forms

Book Appointment

Patient Forms

Please fill out the relevant forms below to ensure you are well prepared for your appointment. If you have not booked your next appointment yet, you can do so here.

Office & Privacy Policy

Please review, print, and sign our privacy policy and office policies forms before your first appointment with us.

New Patient Form

If you are a new patient, please either print out this form, fill it out by hand, and bring it to your appointment, or fill it out online before you arrive for your appointment.

Medical History Form

Prior to your appointment, please fill out this medical history form.

Insurance Plans

We accept multiple insurance plans so that you can have access to reliable care. Currently, we work closely with VSP, Eyemed, MES Vision, and Cash, and are working hard to add more to the list.

If you have any questions about insurance or payment, please do not hesitate to contact us at your earliest convenience.

Visit Our Office

Our Address

2390 North Tustin Ave. Suite B
Santa Ana, CA 92705

Contact Us

Phone: (714) 543-3167
[email protected]

Clinic Hours

Monday
9 AM5:30 PM
Tuesday
9 AM5:30 PM
Wednesday
9 AM5:30 PM
Thursday
9 AM5:30 PM
Friday
9 AM5:30 PM
Saturday
Closed
Sunday
Closed

Our Services

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