HAIGHT STREET EYECARE
  • Home
  • About Us
  • Services
    • Comprehensive Eye Exam
    • Contact Lenses
    • OCT
    • Glaucoma Screening
    • Digital Retinal Photography
    • Dry Eye
    • Myopia Management
  • Frames
  • Patients
    • Patient Forms
    • Privacy Practices
    • Insurance and Payment
  • Appointment request

Patient Forms



To expedite your first visit, complete these forms below.
Please send the completed forms to [email protected]
or bring a copy to your visit.
​Thank you!

hippa_office_policy.doc
File Size: 27 kb
File Type: doc
Download File

medical_history_questionnaire.doc
File Size: 39 kb
File Type: doc
Download File

haight street eyecare

1752 Fillmore Street
San Francisco, CA 94115


Hours
Monday: 9 am - 5:30 pm
Tuesday: 9 am - 5:30 pm
Wednesday: 9 am - 5:30 pm
Thursday: 9 am - 5:30 pm
Friday: 9 am - 5:30 pm
Saturday:  9 am - 2 pm
Sunday:  Closed
Weekdays: Closed for lunch
​12 pm - 1 pm


Contact Us
415-921-1500

Home

Copyright © 2025  Website by Eyefinity
  • Home
  • About Us
  • Services
    • Comprehensive Eye Exam
    • Contact Lenses
    • OCT
    • Glaucoma Screening
    • Digital Retinal Photography
    • Dry Eye
    • Myopia Management
  • Frames
  • Patients
    • Patient Forms
    • Privacy Practices
    • Insurance and Payment
  • Appointment request