Speed up your visit by completing the necessary form(s) below. For your convenience, you can either fill the form(s) out online or download and print the form(s) and bring it with you to your appointment.
New Patient Health History Form (Required) - Download & Print
Visual Needs Assessment Form (Optional) - Submit Online
Pacific Optical has products and pricing to accommodate all budgets for your eye care and eyewear needs, including eyeglasses, contact lenses, routine office visits and medical office visits.
- Visa, MasterCard, American Express, and Discover
- Flexible Spending Plans
- Health Savings Accounts (HSA)
- Medical Savings Accounts (MSA)
We accept most insurance plans at our office including VSP, EyeMed, Blue Cross Blue Shield, Providence Health Plans, and many others. Plans and coverage vary, so please call our office and we will verify and explain your benefits before your visit at no charge.
Let us know how we are doing?
At Pacific Optical, we believe in continual improvement of our services. Please take a few moments and share your experience with our office. We appreciate your feedback!