It is always our goal at Burbank Optometric Center, Inc. to give you the eye care you deserve in a timely manner.

In order to ensure that your first visit goes smoothly, you may want to complete the forms below prior to your visit. You can even fax us your forms or drop them off prior to your appointment to speed up your first visit.

New patient registration form: Download & Print Form

Record’s Request Form: Download & Print Form

Contact Lens Policy and Agreement: Download & Print Form

Children’s Questionnaire (Short) – Submit Online

Children’s Developmental Exam Questionnaire: Download & Print Form | Submit Online

Teacher Questionnaire: Download & Print

You will need Adobe Reader® installed on your computer. If you don’t have it, click Here to download.

If you have any questions about our office or our forms, don’t hesitate to contact us today at Burbank Optometric Center, Inc.