Patient Forms


Before your next appointment, please fill out the necessary forms. If you do not already have an appointment with us, you can request one here.

Office and Privacy Policy

Before your appointment, please review, print, and sign our privacy policy and office policies forms.

New Patient Form

New patients can either print their form and fill it out by hand to bring to their appointment or fill it out online before their appointment.

Returning Patient Form

We kindly ask that all returning patients make sure their file is up to date before their next appointment by filling out this online form.

Retinal Photography Form

Before you arrive for your retinal photography exam, please print and fill out our Digital Retinal Imaging and Optical Coherence Tomography form, which is available in both English and Spanish.

Vision Plans


La Paz Optometric Center is pleased to accept the following third-party vision plans:

  • Retail Clerks Union (Food and Drug)
  • Vision Service Plan (VSP)
  • Bristol Park Medical
  • Greater Newport Physicians (Hoag Hospital)
  • Eye Care Plan of America/(EMED)
  • Cole Vision/Vision One
  • Davis Vision
  • Medical Eye Services (MES)
  • SafeGuard
  • N.V.A./Heritage Optical
  • Group Vision Associates (GVA)
  • Aetna
  • Superior Vision
  • Blue Cross and Blue Shield
  • Healthnet
  • Unicare
  • Avesis
  • United Health Care (UHC)
  • Vision Benefits of America
  • Signature Vision Plan
  • EBA & M
  • Cigna
  • Physicians Care
  • Healthcomp
  • Medicare

If you have any questions about which vision plans we accept please contact our office for more information.