Dr. Kenneth Chiu & Associates

FORMS

Patient Info Form

Contact information, patient history, and consent for dilation.

HIPAA 

Read and acknowledge our privacy policy.

Medical Records Release Form

Have previous medical records sent to our office to help ensure quality care.

IMPORTANT LINKS

Glaucoma

AMD (Age Related Macular Degeneration)

Cataracts

California Board of Optometry

You can download your patient forms and fill them out prior to your exam to ensure a timely appointment.