All patients, both new and existing, must print out this "Medical History Questionnaire" and bring it in to their scheduled appointment.
If you cannot print and fill this out prior to your appointment, we ask that you arrive 15 minutes earlier than your scheduled appointment to allow yourself enough time to fill it out before your exam. Thank you. For all Infantsee exams (offered to children 6 months-1 year), please fill out prior to making your appointment and fax to (650) 321-2489, mail to 540 University Ave Suite 110 Palo Alto, CA 94301, or e-mail to mike@paloaltoeyes.com.
 |
|
This PDF requires a free plugin that may have come included with your browser. If you are having difficulties opening this file Click Here to go to Adobe's web site for Acrobat Reader. |
|
 |
|
|
