Patient Forms

patient_registration_new_2021-09.pdf |
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
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 doors have reopened. We continue to follow CDC guidelines for mask requirements and encourage everyone to practice safe social distancing. If you have any questions or concerns please do not hesitate to call us at (714) 996-EYES (3937). 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
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 doors have reopened. We continue to follow CDC guidelines for mask requirements and encourage everyone to practice safe social distancing. If you have any questions or concerns please do not hesitate to call us at (714) 996-EYES (3937). Mahalo for your assistance and understanding!