Patient Forms
Registration Form
File Size: 123 kb
File Type: pdf
Download File
Feel free to print out and complete this "REGISTRATION FORM"
​before your office visit for your convenience.
Contact Us
See us at our modern, larger location…
ONE BLOCK EAST of our former location.
Find us along the flagpole, mid-level at Walnut West Plaza (On Amar Road, between Francesca Dr. and Amber Valley Dr.)
18800 EAST AMAR ROAD #A5
WALNUT/WEST COVINA, CA
Phone: (909) 594-1153 or
​              (626) 965-3878
      Fax: (626) 965-5662
Office Hours
**For the safe health of all, office hours listed
are BY APPT for eyecare services**
Tue      11:00 am - 1:00 pm/3:00 pm -  5:00 pm
Wed    10:00 am - 1:00 pm/3:00 pm - 6:00 pm
Thu      11:00 am - 1:00 pm/3:00 pm - 5:00 pm
Fri        10:00 am - 1:00 pm/3:00 pm - 6:00 pm
Sat         9:00 am - 1:00 pm
​




Notice of Privacy Practices
Website by Eyefinity