ALOHA FAMILY OPTOMETRY
  • Home
  • REQUEST AN APPOINTMENT
  • Patient Forms
  • Anniversary Fundraiser
  • About Us
  • Aloha Team
  • Testimonials
  • Products
  • Services
    • Eye Care Articles
  • Insurance
  • Location

Patient  Forms

patient_registration_new_2021-09.pdf
File Size: 176 kb
File Type: pdf
Download File

Aloha!  Thank you for scheduling your appointment with us.  We look forward to seeing you soon!  We ask that you please complete and return your registration form to our office by email to support@alohafamilyoptometry.com 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

We ask for 24 hour notice to avoid a cancellation fee should you need to reschedule your appointment to another time.  We'd be happy to help you reschedule by phone, text, email or in person.   Mahalo for your assistance and understanding! 
Aloha Family Optometry
1874 N. Placentia Avenue
Placentia, CA 92870
714-996-EYES(3937)
Office Hours
Tue      9am - 1pm, 2pm - 5:30pm
Wed     9am - 1pm, 2pm - 5:30pm
Thu     10am - 1pm, 2pm - 5:30pm
Fri        9am - 1pm, 2pm - 5:30pm
Sat       9am - 1pm

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