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Practice Name

Fountain Valley Optometry

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Primary Location
16027 Brookhurst Street, Suite E
Fountain Valley, CA 92708
Phone: 714-210-2393
Fax: 714-531-5507

Office Hours

DayMorningAfternoon
Monday95
Tuesday96
Wednesday95
Thursday97
Friday95
Saturday93
SundayClosedClosed
Main Content

At Fountain Valley Optometry, 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.
  • Download the required form(s). Print out the form(s) 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.

Download & Print Form


Communication Methods

Download & Print Form


Receipt of Notice of Privacy Policies & Consent Form

Download & Print Form


Notice of Privacy Practices

Download & Print Form


Download the Free AdobeReader®

Exclusive Offer

New patients receive 15% OFF first visit.

Sign-up using the form or call us at 714-210-2393 to take advantage of this exclusive offer.

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Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Office Hours

DayMorningAfternoon
Monday95
Tuesday96
Wednesday95
Thursday97
Friday95
Saturday93
SundayClosedClosed

Contact

Fountain Valley Optometry
16027 Brookhurst Street, Suite E
Fountain Valley, CA 92708
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  • Phone: 714-210-2393
  • Fax: 714-531-5507
  • Email Us
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