ALOHA FAMILY OPTOMETRY
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Welcome  to  our  Ohana!

New patient registration forms

​Thank you for scheduling your appointment with us. Welcome to our Aloha ohana!

Please download the New Patient Registration Form, complete your information and health history, and email this form to [email protected] prior to your appointment time to help our team best meet your eyecare needs. Mahalo! We look forward to meeting you soon! 

Aloha Family Optometry
1874 N. Placentia Avenue
Placentia, CA 92870
714-996-EYES(3937)
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Office Hours
Mon     11am - 2pm, 3pm - 7:30pm
​Tue      9am - 1pm, 2pm - 5:30pm
Wed     9am - 1pm, 2pm - 5:30pm
Thu     10am - 1pm, 2pm - 5:30pm
Fri        9am - 1pm, 2pm - 5:30pm

Holiday Hours updated on Google
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Notice of Privacy Practices
Website by Eyefinity
  • Home
  • REQUEST AN APPOINTMENT
  • New Patient Forms
  • Anniversary Fundraiser
  • About Us
  • Aloha Team
  • Testimonials
  • Products
  • Services
    • Eye Care Articles
  • Insurance
  • Location