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Online Forms

Inland Optometry Online Forms

At Inland Optometry, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s) and fill in the required information.

  • Fax or email us your completed form(s) or bring them with you to your appointment.

PDF File
New Patient Form
PDF File
Release Form
PDF File
Background Information Form
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Inland Optometry
Contact Info
Hours of Operation
  • Monday 10:00am - 6:00pm
  • Tuesday 10:00am - 6:00pm
  • Wednesday Closed
  • Thursday 10:00am - 6:00pm
  • Friday 10:00am - 6:00pm
  • Saturday Call for hours
  • Sunday Closed
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