OFFICE FORMS
The doctors and staff will do everything possible to make your visit comfortable and timely. To assist in this process we ask for you help, please bring the following items with you for your appointment.
1 - Your most recent prescription glasses and/or written prescription.
2 - Your vision insurance card (if available) and medical insurance card, SS# and ID.
3 - Your most recent contact lens prescription (if applicable) either written out or the old boxes.
4 - Your completed office forms from the list below. Please call staff with any questions.
1 - Your most recent prescription glasses and/or written prescription.
2 - Your vision insurance card (if available) and medical insurance card, SS# and ID.
3 - Your most recent contact lens prescription (if applicable) either written out or the old boxes.
4 - Your completed office forms from the list below. Please call staff with any questions.
Welcome to the Office (PDF)
Patient Information (PDF)
Medical History Questionnaire (PDF)
Procedure Review / Patient Sign-off (PDF)
Notice of Privacy Practices (PDF)
CONEJO FAMILY EYECARE
Drs. Griffith and Hamlet Optometrists
299 W. Hillcrest Drive, Suite 215
Phone: (805) 497-6964 / Fax: (805) 494-6836
Drs. Griffith and Hamlet Optometrists
299 W. Hillcrest Drive, Suite 215
Phone: (805) 497-6964 / Fax: (805) 494-6836
Copyright 2012 Jason C.W. Griffith, O.D. and Stacy J. Hamlet, O.D.