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.

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 January 16: closed
Monday February 13: closed

Notice of Privacy Practices
Website by Eyefinity

New Patient History Form.pdf
File Size:	231 kb
File Type:	pdf

Release Records to Martinez Optometry
File Size:	149 kb
File Type:	pdf

Release Records from Martinez Optometry
File Size:	60 kb
File Type:	pdf

HIPAA Form
File Size:	158 kb
File Type:	pdf