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Roseville
916-789-2020
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Sacramento
916-921-8080
Roseville
916-789-2020
Sacramento
916-921-8080
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Forms For Patients
Download any of the following forms to speed up the first day process.
Medical History Questionnaire [PDF]
Notice of Privacy Practices [PDF]
Authorization for release of Identifying Health Information[PDF]
Optomap Computerized Retinal Scan [PDF]
Authorization To Bill Insurance [PDF]
Other Useful Information
Record Release to SCL from another Doctor [PDF]
Typical Eye Exercises for Improvement of Convergence
The Eyestrain Epidemic
Quick Care One Step Cleaning and Disinfection
For Returning Patients
Patient Information Update [PDF]
Optomap Computerized Retinal Scan [PDF]
Authorization To Bill Insurance [PDF]
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