Welcome to Los Gatos Eye Care
Below are our patient forms. You may choose to print and fill them out prior to your initial appointment.
You will need Adobe Acrobat Reader to view these files.
You will need Adobe Acrobat Reader to view these files.
What to bring to your exam:
- Current insurance cards/information
- Current glasses
- Primary glasses
- Sunglasses / Sports glasses
- Computer glasses
- Contact Lens Patients:
- Wear contact lenses to the appointment (Insert at least 2 hours prior)
- DO NOT wear contact lenses if you are having SEVERE problems, but please bring them in your contact lens case
- Contact Lens Prescription or boxes, labels, vials with specifications on it
- Name of contact lens solutions
- Wear contact lenses to the appointment (Insert at least 2 hours prior)
Financial Policy
| Patient Financial Policy and Expectationsss |
Financial policy signature
| Patient financial policy signature |
Authorization to retain credit card information
| Authorization to retain credit card information |
Patient history form ADULT
| Patient History Form Adult |
Medical history form for children under 16 years old
| Patient Medical History Form - Pediatric |
Records release authorization form (to LGEC)
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Records release authorization form (from LGEC)
| Records release authorization form (from LGEC) |