Patient Forms
| Yearly routine exam form, VSP and other vision Insurance |
| Patient Health History Form for Medical and Medicare visits |
| Developmental History for children under 18 only |
| Patient COVID screening form |
| HIPPA_2020.pdf |
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Dr. David Baba, Optometrist
3178 Collins Drive, Suite A Merced, CA 95348 Phone: 209-383-1246 Fax: 209-383-0258 |
Office Hours:
Monday-Friday: 8:15 am to 5:00 pm. Lunch hours: 11:30 to 12:30, M-Th 12:00 to 1:00, Friday |
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