Online Forms

At Vista Clear Eye Care, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

Download & Print Form

Korean Translated Download & Print Form


Download the Free AdobeReader®

Locations

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Temporary Office Hours

Monday:

10:00 am-6:00 pm

Tuesday:

10:00 am-6:00 pm

Wednesday:

Closed

Thursday:

11:00 am-7:00 pm

Friday:

9:00 am-2:00 pm

Saturday:

9:00 am-2:00 pm

Sunday:

Closed

Testimonial

Review From Our Satisfied Patient

  • "Dr. Lee and his staff have been my eye care specialists for many years now. I have the utmost confidence in the service and care that I receive from this office. Never feel rushed and always receive attentive and thorough examination and follow-up. Congratulations on your lovely new office !"
    Barbara Patrizzi