Dr Chiana's Eyecare Center
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patient forms

Patient Forms


Welcome to our Office
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File Type: pdf
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BEFORE YOUR EXAM
We look forward to seeing you at our office and we are glad you selected us for your EyeCare needs. Some things you need to know before your exam:

1*- Print out the WELCOME TO OUR OFFICE form above, fill it out and bring it with you to your appointment.
FOR PATIENTS WITH INSURANCE*
The world of insurance coverage is complicated. To figure out your benefits and make your visit go faster please do the following:

2*- Bring your MEDICAL INSURANCE CARD AND YOUR VISION INSURANCE CARD if you will be using insurance for your visit.  We need this because sometimes Eye Care is covered by your medical plan and sometimes on the vision plan.

3- Know if you have a PPO or HMO. If HMO know the name of the group and your primary Doctor. If you have a HMO you may need a authorization to see us.  If you are not sure call and we can check for you.

4*- Remember that co-pays are due the day of the visit. Also know that we can help you with insurance but we, as providers, do not guarantee any payment or validity of any information . Only your insurance company can do that. We are simply the middleman.

Contact Us
1839 W. Orangethorpe ave.
Fullerton, CA 92833
Phone: 714-879-2020
Office Hours
Mon    9:30 am - 6:30 pm
Tue     9:30 am - 6:30 pm
Wed    9:30 am - 6:30 pm
Thu     9:30 am - 6:30 pm
Fri       9:30 am - 6:30 pm
Sat      9:30 am - 3:00 pm

​Notice of Privacy Practices

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  • Home
  • Our Practice
  • Our Services
    • Insurances we accept
  • Patient Forms
  • Eye Care Articles
  • Designer Frames
  • Location