New patients, please complete this secure online patient registration.
Alternative Registration Method
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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.
Please read our Privacy Practices and print and sign the Acknowledgement form before you visit our office.
- Notice of Privacy Practices
- Acknowledge Receipt of Privacy Practices & Consent Form
- Aviso de las Prácticas de Privacidad
- Recibo del Aviso de las Prácticas de Privacidad y el Formulario de Consentimiento
- Statement of Patient Financial Responsibility
- Declaración de Responsabilidad Financiera del Paciente
Golden Optometric complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Golden Optometric does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. You can read the details and other resources below.