Patient Forms

History Questionnaire

Patient History Questionnaire - Questionario Medico Del Paciente

We know your time is valuable so in an effort to cut down your time spent in the office filling out forms, we have included them here. Just print them out, fill them out, and bring them with you. It's that easy!

Contact Lenses

Understanding Your Contact Lens Fees - Entendiendo Cobros de Pupilente

Contact Lenses are a big part of our practices and we find that we are often asked questions about how the contact lens evaluation works and how the fees are calculated. We have put together this form to help you in understanding your contact lens fees and services.

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Golden Optometric Group
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West Covina

1026 W West Covina Pkwy #B
West Covina, CA 91790
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(626) 962-5868
(626) 856-0570 FAX

M-F 9:00am-8:00pm
Sa 9:00am-5:30pm
Su 10:00am-4:00pm
Doctors avail Sundays

Whittier

11245 E Washington Blvd
Whittier, CA 90606
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(562) 692-1208
(562) 695-6386 FAX

M W F 9:00am-6:00pm
T Th 8:00am-7:00pm
Sa 8:30am-2:00pm

offices in West Covina & Whittier serving Los Angeles & Orange County

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We Accept
we accept VSP, EyeMed, NVA and many more vision care and medical insurance plans
and more...