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Patient Forms

Mayer and Shah Optometry Patient Forms

At Mayer and Shah Optometry, we value your time. In an effort to save you time in our office, you can fill out the forms online OR download and complete our patient form(s) prior to your appointment.

To fill out forms online: Online Patient Forms

To download forms and fill out at your leisure:

  • You will need AdobeReader® to download and complete the forms.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.
PDF File
New Patient Form
PDF File
Cuestionario De Historia Medica
PDF File
Scleral Lens Forms
PDF File
Amsler Grid (Macular Monitoring)
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All Eyecare Services

We offer a wide variety of eye care services to the Hanford community. Contact us with any questions about our services.

Keep In Touch

For non-urgent questions or to learn more about our services, contact us today!