Patient Forms

Yearly routine exam form, VSP and other vision Insurance | |
File Size: | 639 kb |
File Type: |

Patient Health History Form for Medical and Medicare visits | |
File Size: | 73 kb |
File Type: |

Developmental History for children under 18 only | |
File Size: | 311 kb |
File Type: |

Patient COVID screening form | |
File Size: | 616 kb |
File Type: |

hippa_2020.pdf | |
File Size: | 2405 kb |
File Type: |
Dr. David Baba, Optometrist
3178 Collins Drive, Suite A Merced, CA 95348 Phone: 209-383-1246 Fax: 209-383-0258 |
Office Hours:
Mon. thru Fri. 8:15 am to 5:00 pm. Lunch hours: 11:30 to 12:30, Mon. thru Thurs. 12:00 to 1:00 Fri. |