Patient Forms

History Questionnaire

Patient History Questionnaire - Cuestionario Medico Del Paciente

We know your time is valuable so in an effort to cut down your time spent in the office filling out forms, we have included them here. Just print them out, fill them out, and bring them with you. It's that easy!

Save When You Visit Golden Optometric

When you bring your Patient History Questionmaire along with this coupon, you get instant credit at Golden Optometric. Download the coupon.

save instantly with this coupon when you visit Golden Optometric Group

Contact Lenses

Understanding Your Contact Lens Fees - Entendiendo Cobros de Pupilente

Contact Lenses are a big part of our practices and we find that we are often asked questions about how the contact lens evaluation works and how the fees are calculated. We have put together this form to help you in understanding your contact lens fees and services.

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Golden Optometric Group

West Covina

1026 W West Covina Pkwy #B
West Covina, CA 91790
(626) 962-5868
(626) 856-0570 FAX

M-F 9:00am-8:00pm
Sa 9:00am-5:30pm
Su 10:00am-4:00pm
Doctors avail Sundays


11245 E Washington Blvd
Whittier, CA 90606
(562) 692-1208
(562) 695-6386 FAX

M W F 9:00am-6:00pm
T Th 8:00am-7:00pm
Sa 8:30am-2:00pm

Seen Crizal?

Crizal anti-glare lenses - Live life in the clear!
We recommend Crizal for glasses & prescription sunglasses. Learn more.

Video Learning

Learn more about Golden Optometric Group and about eye health, vision conditions, and eyewear with our Video Learning Center.