Patient Forms

Please download the patient forms below and fill out before you come to your appointment to save time during your visit for your convenience.

Feel free to print the forms, fill out and fax to one of our offices:

  • Beverly Hills FAX: (310) 248-7485
  • Huntington Beach FAX: (714) 848-7826

You may also scan, and then email the completed forms to rosieolivas@yahoo.com for the Beverly Hills location or Sonia@clarityeyegroup.com for the Huntington Beach Location.

New Patient Form – Beverly Hills New Patient Form – Huntington Beach