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New Patients Forms


Thank you for choosing Ventura Eye Institute. We look forward to working with you soon. Because we respect your time, we’ve made all of the New Patient Forms you’ll need available on this site. By completing them in advance and printing them out to bring with you, you’ll save time on your first visit. Please don’t hesitate to call us if you have any additional questions—and don’t forget to ask about our convenient financing options. We look forward to providing you with superior vision care.


Notice of Privacy Practices

Permission for Release of Medical Information

Signature On File

Medical History Form

Refraction Consent

Patient Demographics

Ventura Eye Institute, Inc.
3801 Las Posas Road, Suite 112
Camarillo, CA 93010
Phone: 805-388-1211
Office Hours

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