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Patient Forms

At Unique Optometry, we offer patient forms online so you can complete them in the convenience of your own home or office. Simply download the forms, fill them out, and bring them with you to your visit, or submit them via fax or email ahead of time.

How to Complete Your Forms

1

Download

If you don't have Adobe Reader installed, download it here. Then download the necessary form(s) below.

2

Complete

Fill in all required information on the downloaded forms. Please ensure all fields are completed accurately.

3

Submit

Fax to (415) 585-4336, email to contact@uniqueoptometry.com, or bring your completed forms to your appointment.

Available Forms

Medical History Form

Complete this comprehensive medical history form before your first visit. This helps us understand your overall health and any conditions that may affect your eye care.

Download Form

Need Help?

If you have any questions about our forms or need assistance completing them, please don't hesitate to contact our office.

Call us at: (415) 585-4966

Email: contact@uniqueoptometry.com

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