At Warm Springs Optometric Group, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. (Click here to download Adobe Reader for free.)
  • Download the required form and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

Step 1: Download & Fill PDF Forms

Download Patient Registration Form

Download Patient History Form

Step 2: Upload Completed Forms Below

In order to provide you the best possible care, please complete this form and bring it to your first appointment. All information is strictly CONFIDENTIAL.


Sign-up using the form or call us at (510) 490-0287 to make an appointment

OUR LOCATION

Office Hours

Monday:

9:00 AM-1:00 pm

2:00 pm-5:00 pm

Tuesday:

9:00 AM-1:00 pm

2:00 pm-6:00 pm

Wednesday:

10:00 am-1:00 pm

2:00 pm-8:00 pm

Thursday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Friday:

9:00 AM-1:00 pm

2:00 pm-6:00 pm

Saturday:

Alternate Saturdays 9:00am-3:00pm

Sunday:

Closed