Dr. Matty Chang, OD

Dr. Matty Chang, ODDr. Matty Chang, ODDr. Matty Chang, OD

Dr. Matty Chang, OD

Dr. Matty Chang, ODDr. Matty Chang, ODDr. Matty Chang, OD
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    • New Patient Forms
  • Orange, CA
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    • New Patient Forms
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New Patient Forms for Century Eyecare in Placentia, CA

If you are a new patient, please download the following documents and fill them out PRIOR to your visit. Be sure to bring a copy of your medical or vision insurance card (as applicable). Thank you and we look forward to seeing you! 

New Patient Info Sheet (pdf)Download
HIPAA Notice of Privacy Practices (pdf)Download
Contact Lens Agreement (docx)Download
Dry Eye Questionnaire (pdf)Download

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