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Online Forms

Customized Vision Care

At Customized Vision Care, we value your time. In an effort to save you time at our office, you can complete the patient registration and health history information online prior to your appointment by downloading the forms below.

Please note there is a 24-hour cancellation policy. There will be a $25.00 cancellation fee for all missed appointments.


Patient Registration Form


After printing and completing the forms, you can submit it to us through the following 3 options…

  1. Bring the forms with you at the time of your appointment
  2. Email to patients@cvcbrea.com
  3. Fax to (866) 801-4739

Also, when you come into the office, please....

-Wear your contact lenses (if applicable)

-Bring glasses

-Bring in any previous eye medical records, glasses prescriptions, and/or contact lens prescriptions (manufacturer and brand).

If you have any questions, feel free to contact us at (714) 529-2470 anytime.

Thank you and we look forward to seeing you soon!

Location

Hours of Operation

*Hours vary on Wednesdays: 8:00 am - 5:00 pm. Please call ahead for more info.

Office Hours

Monday:

8:00 am

5:00 pm

Tuesday:

8:00 am

5:00 pm

Wednesday:

10:00 am-1:00 pm

3:00 pm-7:00 pm

Thursday:

8:00 am

5:00 pm

Friday:

8:00 am

3:00 pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Testimonial

  • "I always enjoy my visits as they are very thorough and I always come away knowing that I have gotten the best care."
    - Carol S. / Brea, CA