Skip the clipboard and reduce wait time. Complete your intake form via text message/ cell phone for more efficient service. Once your appointment is made, you will receive upcoming appointment reminders, a text message to complete the intake form, any ready for pick up eyewear notifications, as well as annual eye exam reminders.
Text us at 951-561-2049 for general questions and our staff can assist you via messaging or call you back during normal business hours.
Patient Forms
If you are a new or returning patient, please fill out front and back side of the Patient Questionnaire/ Intake Form and bring to your annual GENERAL EYE EXAM/ Annual Eye Exam appointment.
If you have already completed the patient intake forms sent to you via text/email, you DO NOT need to fill these forms out.
If you have already completed the patient intake forms sent to you via text/email, you DO NOT need to fill these forms out.
| Patient Questionnaire/ Intake Form |
| Spanish Patient Questionnaire/ Intake Form |
| Optomap Information |