Family Vision Care Optometry Forms Page

FAMILY VISION CARE OPTOMETRY INC.

Welcome to Family Vision Care Optometry! We are a full service eye care development center providing the highest quality vision care to infants, children and adults. While specializing in children's vision care and the "hard to fit" contact lens patient, our practice provides a full spectrum of optometric eye care services for patients of all ages.

Please use the links below to open the form that you wish to use (they will open in a new browser window).

Once open, please fill it out online and print it. You may then either bring it in with you or fax it to us at (661) 775-9627.

Please call us at (661) 775-1860 if you have any questions.

General Adult Form

General Child Form

General Infant/Toddler Form
*to be used for children 3 years and younger

Supplemental Adult Strabismus Form

Supplemental Child Strabismus Form

Supplemental PRE Sensory Learning Program Form

Supplemental POST Sensory Learning Program Form

Supplemental Traumatic Brain Injury Patient Form

Teacher Questionnaire

Thank you in advance for carefully completing our questionnaires. The information supplied will allow for more efficient use of time and will permit us to make a complete optometric evaluation of your visual system related to your specific needs. Thank you from the office of Drs. Carl Garbus, James Yi, Andrea Woo and Mariya Berkovich.

Drs. Carl Garbus, James Yi, Andrea Woo, and Mariya Berkovich