VALDEZ OPTOMETRY
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New Patients Form

Please download and fill out this questionnaire form and bring it with you to your next appointment.
The patient's questionnaire form must be updated every three (3) years.

Please Upload

Thank you !

We look forward to seeing you soon!
Dr. Lynn Valdez, ​and Our Staff
  • Home
  • Doctors & Staff
  • VSP Insurance
  • Designer Eyewear
  • Location
  • Our Services
  • Patient Forms
  • Eye Care Articles
  • Privacy Notice
  • Announcement