New Patients

We offer two convenient San Francisco locations.

Please call either office to schedule your appointment.

If you are new to our office, please fill out the new patient forms below. Our forms are available in both Microsoft Word format and Adobe Acrobat Reader 7.0. Please download the forms and fax them back to the office where you scheduled your appointment or bring them with you.

Dr. Monetta Optometry & Eyes in Disguise Optometry Forms Library

Download the preferred format

Microsoft Word Adobe Acrobat 7
Patient History Download Download
Symptoms Checklist Download Download
Financial Policy Download Download
HIPAA Privacy Policy Download Download
If you wear contact lenses, please also fill out the Contact Lens Questionnaire below. If you are coming to us for our rehabilitative Vision services, please also fill out the Visual Rehabilitation Form below.
Contact Lens Questionnaire Download Download
Visual Rehabilitation Form Download Download

If you need to change or cancel your appointment, please do so at least 24 hours prior to your appointment.
There is a $50.00 Late Cancellation Fee for cancelling within 24 hours of your scheduled appointment or missed appointments.
We look forward to seeing you.