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  • Our Practice
  • Our Services
  • Patient Forms
  • Special Events
  • Eye Care Articles
  • Make An Appointment
  • Contact Lens Policy
  • Emergency Visit Policy
  • Doctors' Schedules
  • Pictures of our office
  • Are you a fan?
  • Parking Info
  • Location
  • Privacy Notice
  • Home
  • Our Practice
  • Our Services
  • Patient Forms
  • Special Events
  • Eye Care Articles
  • Make An Appointment
  • Contact Lens Policy
  • Emergency Visit Policy
  • Doctors' Schedules
  • Pictures of our office
  • Are you a fan?
  • Parking Info
  • Location
  • Privacy Notice
Give us a call:
650-992-2020

  

Patient Forms


Information and History Form
File Size: 218 kb
File Type: pdf
Download File

Please help us keep our records current. We request updated information sheet annually.

For our new patients, please fill out the attached history form.

Please print and fill out the information before your examination.

Contact Us
Westlake Vision Center Optometry
326 Westlake Center
Daly City, CA 94015
Phone: 650-992-2020
Fax: 650-992-1105
Office Hours
Mon    10:00 am - 6:00 pm
Tue     10:00 am - 6:00 pm
Wed    10:00 am - 6:00 pm
Thu     10:00 am - 6:00 pm
Fri       10:00 am - 6:00 pm
Sat      9:00 am - 3:30 pm
Sun     CLOSED
Picture
Notice of Privacy Practices
Website by Eyefinity
  • Home
  • Our Practice
  • Our Services
  • Patient Forms
  • Special Events
  • Eye Care Articles
  • Make An Appointment
  • Contact Lens Policy
  • Emergency Visit Policy
  • Doctors' Schedules
  • Pictures of our office
  • Are you a fan?
  • Parking Info
  • Location
  • Privacy Notice