Jewel City Optometry
  • Home
  • Our Practice
  • Our Services
    • Promotions
    • Special Events
  • Location
  • Eye Care Articles
  • Patient Forms

patient  forms

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
Check out Jewel City Optometry on Yelp
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
  • Home
  • Our Practice
  • Our Services
    • Promotions
    • Special Events
  • Location
  • Eye Care Articles
  • Patient Forms