We Love New Patients!

Our doctors and staff are committed to running on time and not having patients wait.  One of the ways we can ensure that you are seen at your scheduled appointment time, is to have you arrive….prepared.  Thank you for taking the time to download and fill out the appropriate paperwork in advance!


Step 1

Download and save our new patient intake PDF to your computer or fill it out with your browser.
New Patient Intake PDF – works with PC or Mac

Step 2

Fill out all editable sections and then save the form to your computer.

Step 3

E-mail your completed form to info@southpasadenaeyes.com or give it to our office 5 minutes before your scheduled appointment.


Our Notice of Privacy Practices PDF is available for download here.

If you have any questions about our services, please contact us today at (626) 441-5300.