Palo Alto
650.322.4393
706 Webster Street
Palo Alto, CA 94301
Santa Cruz
831.427.1930
On 8.2.13 moving SC office to PA
 

Downloadable patient forms in

PDF format

 

 

   Click here to download the adobe reader (PDF reader) if necessary. Before your appointment, please print and fill out the below forms. (Forms can be mailed, faxed, or brought with you on the day of the appointment.) Thank you very much!



Patient Forms

Patient Information
Health Questionnaire
HIPAA & Refraction Policy
Notice of Privacy Practices