Patient Forms

Prior to your exam, please print and fill out our medical history form.
Jewel_City_ Optometry_ Medical_History.pdf
File Size: 52 kb
File Type: pdf
Download File
Contact Us
839 North Glendale Avenue
Glendale, CA  91206
​818-240-3937
email
Office Hours
Mon    9:00 am - 5:00 pm ( staff  avail only)
Tue     9:00 am - 6:00 pm
Wed     9:00 am - 1:00 pm ( staff avail only)
Thurs   9:00 am - 6:00 pm
Fri       10:00 am - 5:00 pm
Sat      By Appointment Only
Closed for lunch   12:00 pm - 1:00 pm
Notice of Privacy Practices