Patient Forms

For your convenience, we have made a number of forms available for patients to download. If you are new to our practice, we encourage you to download and print out the new patient forms. Filling these out in advance of your first visit will minimize the time you spend in the waiting room filling them out when you get here. Other forms are informational. If your doctor has given you a form with specific information or instructions different from the information on these online forms, rely on the information given to you by your doctor, not on the online forms. If you’re not sure which forms you need, please call +1 (800) 244-9907 for assistance or click here to contact us » Click on the forms you would like to download:

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Stockton

Central Valley Eye Medical Group (Stockton)

Toll-Free Number: 800-244-9907
Optical Department: 209-477-5578
Fax: 209-952-0553

Monday - Friday: 8:00am – 12:00pm, 1:00pm – 5:00pm

Manteca

Central Valley Eye Medical Group (Manteca)

Toll-Free Number: 800-244-9907
Optical Department: 209-239-0753
Fax: 209-239-0090

Monday - Friday: 8:00am – 12:00pm, 1:00pm – 5:00pm

Modesto

Central Valley Eye Medical Group (Modesto)

Fax: 209-579-1407

Monday - Friday: 8:00am – 12:00pm, 1:00pm – 5:00pm

Valley Laser & Surgery Center

Central Valley Eye Medical Group (Surgery Center)

Fax: 209-952-1174

Monday – Friday: 7:00am – 5:00pm

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