Patient Forms

Patient Registration


Web Registration

New patients, please complete this secure online patient registration.


Alternative Registration Method

Download, Print, Complete, Return to Us

Contact Lenses

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.

Privacy Practices

Please read our Privacy Practices and print and sign the Acknowledgement form before you visit our office.

West Covina




Financial Responsibility

West Covina




Return Policies


Golden Optometric complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Golden Optometric does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. You can read the details and other resources below.