CRYSTAL VISION OPTOMETRY
  • Home
  • Our Practice
    • Contact & Location
    • Testimonials
  • Our Services
    • Orthokeratology Myopia Control >
      • Orthokeratology Infromation
    • Comprehensive Optometric Eyecare
    • Contact Lens Evaluation
    • Specialty Contact Lenses/Scleral
    • IPL For Dry Eye
    • IPL For Chalazion
    • Red Eye-Ocular Emergencies
    • Glaucoma Treatments
    • Lasik Consultation and Post OP Care
    • Pediatric Eye Care
  • Patient Center
    • Patient Forms
    • Insurance and Payments
    • Promotions
    • Informational Videos
    • Appointment Scheduling
  • Innovative Technology
    • Medmont Topographer
    • Pentacam Tomographer
    • Optikam
    • Zeiss OCT
    • Eidon Retinal Scanner
  • Eye Care Articles
  • Our Office

Online  patient  forms

Online  Patient  Forms

At Crystal Vision Optometry, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.
​
  • You will need AdobeReader® to download and complete the forms.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • E-mail us completed form(s) to crystalvisionfremont@gmail.com or bring them with you to your appointment.

Welcome Form – Required
Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form. 

​Download & Print Form
Download the Free AdobeReader®
Alternatively you can follow the link below to fill out our patient form(s) online.
  • Simply click on the buttom below and you will be directed to the online version.
  • Once completed it will automatically be forwarded to our office.
  • Save time and paper with this method
Patient Form
Contact Us
5395 Mowry Ave. Fremont, CA 94538
Phone: 510-440-9825 
Fax:  
510-250-1065
​Email: crystalvisionfremont@gmail.com
Temporary Office Hours
Until Further Notice
Mon, Tues, Thurs, Fri**  9:30 am - 6:00 pm

Wed  Closed
Every  Saturday**   9:00 am - 1:00pm
**By appointment only
**Can only book by call not online


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  • Home
  • Our Practice
    • Contact & Location
    • Testimonials
  • Our Services
    • Orthokeratology Myopia Control >
      • Orthokeratology Infromation
    • Comprehensive Optometric Eyecare
    • Contact Lens Evaluation
    • Specialty Contact Lenses/Scleral
    • IPL For Dry Eye
    • IPL For Chalazion
    • Red Eye-Ocular Emergencies
    • Glaucoma Treatments
    • Lasik Consultation and Post OP Care
    • Pediatric Eye Care
  • Patient Center
    • Patient Forms
    • Insurance and Payments
    • Promotions
    • Informational Videos
    • Appointment Scheduling
  • Innovative Technology
    • Medmont Topographer
    • Pentacam Tomographer
    • Optikam
    • Zeiss OCT
    • Eidon Retinal Scanner
  • Eye Care Articles
  • Our Office