Patient Resources

We want to make the process of receiving the high-quality medical care you need convenient and easy for you. To help you prepare for your next visit, we have provided the following patient resources on our website.

Financial Information

We accept most major medical and vision insurance plans. For your convenience, we accept payment in cash, check, and credit card.

The Golden State Eye Medical Group is proud to work with CareCredit, a financing option offering loans with no interest for up to one year. For more information about insurance or payment options, please contact us. We are happy to answer your questions and help you receive the eye health treatment you need.

Patient Forms

If you would like to save yourself some time at your next appointment, we invite you to use our downloadable patient forms. You may print them and bring them in to our office completed to minimize your wait time. If you have any questions or need assistance with patient forms, please don’t hesitate to give us a call.

• New patient Information
This form is required for all new patients.
• English
• Spanish
• Patient History
This form is required for all new patients.
• English
• Spanish
• Acknowledgement of HIPAA
Please read our Notice of Privacy Practices below and sign this Acknowledgement.
• English
• Spanish
• Notice of Privacy Practices
Please read this Notice and sign the Acknowledgement (above). This important notice tells our patients how we utilize their protected health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA).