SEASIDE EYECARE OPTOMETRY
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patient forms

Download  and  Print  Our  Patient  Forms

Patient Forms


​Please download, print, fill out required forms and bring them with you to your appointment.
​Thank you!
  • Telehealth Patient Consent Form- Click here
Patient Information Form
File Size: 36 kb
File Type: pdf
Download File

Patient Financial Responsibility
File Size: 33 kb
File Type: pdf
Download File

Notice of Privacy Practices
File Size: 57 kb
File Type: pdf
Download File

Contact Lens Fitting and Evaluation
File Size: 15 kb
File Type: docx
Download File

Retinal Photos Consent
File Size: 36 kb
File Type: docx
Download File

Contact Us
638 Camino De Los Mares, Ste A-120
San Clemente, CA 92673
Phone: 949-493-2269

customerservice@seasideeyecare.com
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Office Hours
Mon    8:30 am - 5:30 pm
Tue     8:30 am - 5:30 pm
Wed    8:30 am - 5:30 pm
Thu     10:00 am - 7:00 pm
Fri       8:30 am - 5:30 pm
Sat      9:00 am - 2:00 pm*  (open alternate Sat only- please call)
Notice of Privacy Practices
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  • Home
  • Our Practice
  • Appointments
  • Our Services
    • Dry Eye Treatments
    • Eye Care Articles
    • Promotions
    • Community Outreach
  • Patient Forms
  • Location
  • Privacy Notice