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510-881-4401 H
H

510-881-4401

Online Forms

At Vision Gallery Optometric Center, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Form Page 1

New Patient Form Page 2

Office Hours

Day
Monday9:00 am - 6:00 pm
Tuesday9:00 am - 6:00 pm
WednesdayNoon - 7:30 pm
Thursday9:00 am - 6:00 pmAlternate
Friday9:00 am - 6:00 pm
Saturday9:00 am - 2:00 pmAlternate
SundayClosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00 am - 6:00 pm 9:00 am - 6:00 pm Noon - 7:30 pm 9:00 am - 6:00 pm 9:00 am - 6:00 pm 9:00 am - 2:00 pm Closed
Alternate Alternate