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Patient Forms

New Patient

If you are a new patient to our office, the attached file below contains our “New patient registration” forms that will need to be filled out when you arrive at the office. If you would like to fill them out beforehand, that will allow us to attend to your medical needs more quickly than completing them upon your arrival.

By clicking on the link below you can either:

  • 1. Fill out the forms online and submit them to the email located at the top of the form.
  • 2. Or print and fill them out to bring to the office.

Patient Registration Forms

Thank you and if there are any questions please don’t hesitate to call us .

Global Laser Vision
Huntington Beach
  • 18632 Beach Blvd., Suite 100
  • Huntington Beach, CA 92648
Global Laser Vision
Los Angeles
  • Optical Boutique
  • 6300 Wilshire Blvd, Ste 140
  • Los Angeles, CA 90048

Contact Us!

To schedule an appointment, or ask a question, please call us at (855) 456-2253 or fill out this form and we'll get back to you shortly!

Improving Vision, Improving Life