Walnut CreekOptometry · 1951
Walnut CreekOptometry · 1951

Patient Center

Patient Forms & Resources

Download forms before your visit, or ask our front desk for a copy in the office.

Privacy note: We collect your medical history and insurance information in person at your visit — never online. The forms below contain no personal health fields; they are educational resources and blank templates only.

Downloadable Forms

Patient Intake Form

Complete before your first visit to help us prepare for your appointment.

PDF

Myopia Control Tracking Form

For parents of children in our myopia control program — track prescription changes over time.

PDF

10 Reasons You Need OCT & Optomap

A plain-language guide to why retinal imaging matters and what we look for.

PDF

Forms will be available for download once finalized. Call 925-934-4313 if you need a form by email.

QR Codes for Parents

Scan these codes on your phone to access educational resources about myopia and retinal imaging. Ask our front desk if you need a printed version.

Myopia progression guide

For parents of children in myopia control

QR code available in office

OCT & Optomap explained

Why retinal imaging matters

QR code available in office

Contact Us

Have a question, or ready to schedule?

All appointments are scheduled by phone — please give us a call during office hours.

Call 925-934-4313
1844 San Miguel Drive Suite 312, Walnut Creek, CA 94596
Tue–Sat · See full schedule