Patient Forms

Contact Us
835 Main Street
Martinez, CA 94553
Phone: 925-228-3737
Fax: 925-228-3708
E-mail: martinezoptometry@gmail.com
Please call us to schedule an appointment, we are unable to schedule via e-mail.

Office Hours
Mon 9:00 am - 5:00 pm
Tue 9:00 am - 5:00 pm
Wed 9:00 am - 5:00 pm
Thu 9:00 am - 5:00 pm
Fri 9:00 am - 5:00 pm
Sat By appointment
We are closed daily from 1:00-2:00 pm for lunch.

Upcoming Office Closures
Monday May 25th - Memorial Day

Notice of Privacy Practices
Website by Eyefinity

New Patient History Form
File Size:	99 kb
File Type:	pdf

HIPPA Form
File Size:	158 kb
File Type:	pdf

Authorization for Medical Records Release
File Size:	148 kb
File Type:	pdf