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Intake Forms

New patients: Please fill out intake forms by clicking on the "Sign In" link below.  Then select "Fill Out Intake Forms Without an Account". Filling out forms, prior to your appointment is appreciated. 
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​Existing patients: If you have not been seen Dr Valdez for a few years. We need to update your information. For patients with Vision Service Plan (VSP). We are required to update patient records every 3 years. Please fill out intake forms by clicking on the "Sign In" link below.  Then select "Fill Out Intake Forms Without an Account"

SIGN IN