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Patient Testimonials

“The surgery was very easy, painless. Everyone was very nice; very caring. I am very, very pleased. I like Dr. Richardson”

-Patient
 

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New Patient Forms
We will need you to read and complete the forms below at your first visit. In order to make your visit with us as pleasant as possible we have provided these forms below. We encourage you to print out these forms and complete them prior to your visit. Please give us a call at (626) 289-7856 if you have any questions regarding these forms.

DocumentsDate added

Order by : Name | Date | Hits [ Ascendant ]
file icon Privacy PolicyTooltip 08/12/2008 Hits: 1158
Our Privacy Policy
file icon Patient SurveyTooltip 10/06/2008 Hits: 366
file icon Patient Medical History RecordTooltip 08/12/2008 Hits: 744
What we will need to know about your general health when you arrive
file icon Financial Policy - PPOTooltip 08/12/2008 Hits: 899
If you have PPO Insurance
file icon Financial Policy - MedicareTooltip 08/12/2008 Hits: 843
If you have Medicare Insurance
If you have HMO Insurance or No Insurance
file icon Consent for DilationTooltip 08/12/2008 Hits: 603
Consent for Dilation
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Copyright © 2007 San Gabriel Valley Eye Associates, Inc. All rights reserved.
207 S. Santa Anita St., Suite P-25, San Gabriel, CA 91776
Call us: 626.289.7856
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