Dr. David Baba, Optometrist
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  • Home
  • Our Practice
    • Promotions
    • Eye Care Articles
  • Our Services
  • Patient Forms
  • Location

Patient Forms

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

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

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

Patient COVID screening form
File Size: 616 kb
File Type: pdf
Download File

hippa_2020.pdf
File Size: 2405 kb
File Type: pdf
Download File

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.


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