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EYEcenter Patient Check In Forms

Thank you for choosing to fill out paperwork prior to your appointment. Doing so will allow us to serve you more efficiently, making your appointment faster and safer for you and our staff.

Please have your insurance information ready. If you cannot provide it below, plan to arrive ten minutes early to your appointment and bring your insurance card so we can process your information.

Masks are required for all visitors and staff in EYEcenter offices.

If you have any questions, feel free to contact us at 916-726-1818.
Thank you again for your cooperation. We look forward to seeing you at your appointment.

Patient Check-In Forms

Step 1 of 3

  • MM slash DD slash YYYY
  • Financial Agreement

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We appreciate your patience as we deal with staffing shortages. We are not accepting walk-in traffic at this time and require appointments for all visits. You may also experience longer than normal hold times.

Our Rocklin, Folsom and Gold River locations are closed due to staff shortages. We plan to be able to re-open by 1/31. Click here for more details and instructions for material pickup.