Patient Forms
| Patient_registration_new_2020-09.pdf |
Aloha! Thank you for scheduling your appointment with us. Due to COVID-19 our office is taking every precaution possible to make Aloha Family Optometry a safe and comfortable place for our patients. Our check-in process has been modified to limit the in person exposure during your visit. We ask that you please complete and return your registration form to our office by email prior to your appointment time.
The forms may be completed directly through your mobile phone or computer using AdobeReader.
Here are the links below to download the app if needed
PC: You will need AdobeReader® to download and complete the forms. Click here to Download the Free AdobeReader®
Iphone/Applestore: https://apps.apple.com/us/app/adobe-acrobat-reader-for-docs/id469337564
Andriod/Google Play Store: https://play.google.com/store/apps/details?id=com.adobe.reader
Upon arrival for your appointment please call our office to start the check-in process over the phone. A face mask will be required to enter our office and we will also be checking your temperature at the door as a safety precaution. Having a continuous temperature over 100 degrees fahrenheit and/or having symptoms of COVID-19 (fever, chills, muscle pain, sore throat, dry cough, shortness of breath, a loss of taste or smell) may result in rescheduling this appointment. If you have any questions or concerns please do not hesitate to call us at (714) 996-3937 (EYES). Mahalo for your assistance and understanding!
The forms may be completed directly through your mobile phone or computer using AdobeReader.
Here are the links below to download the app if needed
PC: You will need AdobeReader® to download and complete the forms. Click here to Download the Free AdobeReader®
Iphone/Applestore: https://apps.apple.com/us/app/adobe-acrobat-reader-for-docs/id469337564
Andriod/Google Play Store: https://play.google.com/store/apps/details?id=com.adobe.reader
Upon arrival for your appointment please call our office to start the check-in process over the phone. A face mask will be required to enter our office and we will also be checking your temperature at the door as a safety precaution. Having a continuous temperature over 100 degrees fahrenheit and/or having symptoms of COVID-19 (fever, chills, muscle pain, sore throat, dry cough, shortness of breath, a loss of taste or smell) may result in rescheduling this appointment. If you have any questions or concerns please do not hesitate to call us at (714) 996-3937 (EYES). Mahalo for your assistance and understanding!
