Vision One Optometry of West Covina, Inc.
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patient  forms

Patient Forms


If you are a new patient and would like to begin filling out your Welcome Form, download the file below.  Remember to bring it with you to your scheduled appointment.

Si usted es un paciente nuevo y le gustaria comenzar la Forma de Bienvenida, descarge la forma de abajo.  Recuerde traerla con usted a su cita.

Welcome Form - English
File Size: 508 kb
File Type: pdf
Download File

Welcome Form - Espanol
File Size: 556 kb
File Type: pdf
Download File

Contact Us
Vision One Optometry of West Covina, Inc.
450-A N Azusa Ave
West Covina, CA 91791
Phone: 626-966-6287

Office Hours
Mon    9:00 am - 6:00 pm
Tue     9:00 am - 6:00 pm
Wed    9:00 am - 6:00 pm
Thu     9:00 am - 6:00 pm
Fri       9:00 am - 6:00 pm
Sat      8:00 am - 1:00 pm

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  • Home
  • Our Services
    • Promotions
  • Meet the Staff
  • Frames
  • Patient Forms
  • Special Events
  • Eye Care Articles
  • Location