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(858) 534-3300

Optometry - Forms

  • Patient History Questionnaire.​​
    ​To facilitate the check-in process, print the questionnaire, complete, and bring with you to your visit. This questionnaire is also available through SSO (single sign-on) upon check in at the clinic, or you can complete at home.

  • Authorization to Release Optometry Information.​
    If you would like your optometry records sent to another facility, download the authorization form and FAX to our office (858) 534-4749.

Hours​

During academic quarters: 

  • Mon/Wed/Fri: 8am-4:00pm​ 
  • Tue & Thu: 9am-4:00pm. 

We are closed for lunch from 12:00-1:00 p.m. We are also closed on weekends and all University holidays.

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Make an Appointment

To make an appointment, call:
(858) 534-2602.

Contact Us

If you have questions, email us at:
SHS-Opto@ucsd.edu​