California Ave Optometry & Contact Lens Clinic
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patient  forms

Patient Forms


Welcome & Registration Form
File Size: 83 kb
File Type: pdf
Download File

You may wish to print this form, and complete it prior to arriving at our practice. Vision Service Plan and other insurance carriers ask that you call our office ahead of time to verify coverage, so that we may explain your options, and answer any questions you may have.

Please arrive at our practice wearing your current glasses or, if you wear contact lenses, please wear them for several hours prior to the appointment, and bring any information you may have on the current prescription (written Rx or contact lens packaging or boxes are sufficient). Thanks.
Medical Records Release Form
File Size: 65 kb
File Type: pdf
Download File

Used to obtain records from previous office, for use by Dr. Baggett or Dr. Lovering during the examination.
Contact Us
456 S. California Avenue
Palo Alto, CA 94306
Phone: 650-617-2020
Office Hours
Mon    8:15 am - 5:00 pm
Tue     8:15 am - 5:00 pm
Wed    8:15 am - 5:00 pm
Thu     8:15 am - 5:00 pm
Fri       8:15 am - 5:00 pm

Notice of Privacy Practices
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  • Home
  • Our Practice
    • Our Professional Staff
    • Designer Showroom
    • Eye Care Articles
  • Our Services
  • Patient Forms
  • Location