Online Patient Forms:
Whether you are a new or exiting patient to our office, please click the link below to complete or review your personal information and medical history. Existing patients should contact the office to receive a passcode.
New patients should also review and complete the two forms below.
In-Office Patient Forms:
If you are a new patient to our office, save time by downloading and completing our intake forms to bring on your visit.
- Patient Intake Form
- Contact Lens Fitting Policy Form
- Notice of Privacy Practices and Financial Disclaimer Form
Contact Lens Rebates:
Please click on the appropriate link below to submit your contact lens rebate. Call us at (510) 748-9749 if you have any questions.
Contact
1050 Marina Village Parkway
Suite 104
Alameda, CA 94501
Tel: 510.748.9749
info@eyewiseoptometry.com
Insurance plans accepted:
Vision
Medical (PPO)
Office Hours
| Open | Close | |
| Mon | 9am | 5pm |
| Tue | 11am | 7pm |
| Wed | 9am | 5pm |
| Thu | 11am | 7pm |
| Fri | 9am | 5pm |
| Sat | 9am | 4pm |
| Sun | closed |