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PATIENT HISTORY AND REGISTRATION FORM
To ensure our office can provide the highest quality of care and reduce your wait time during your appointment; we ask that you click here to complete and print the Patient History and Registration form prior to your appointment. Also, bring any health documentation that will help us provide better eye care.
CUSTOMER
SURVEY
To help us continue to provide excellent service, please take a moment of your time to click here and complete the survey. At Pacific Optometry we strive to deliver the highest standard of patient eye care.



Store location: 2402 S. Azusa Ave., West Covina, CA 91792
Tel: (626) 810-4535
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Store Hours: M-F: 10:00am to 6:00pm
Sat: 9:00am to 4:00pm Sun: closed