Online Forms

Welcome to Chico Vision Care! Before your first appointment please take a few minutes to print and complete the forms below. This will save you time and help us better serve you! If you have any questions please don’t hesitate to call us.

  • 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.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required

Download & Print Form

Medical History Form

Download & Print Form

Patient Consent Form

Download & Print Form


Download the Free AdobeReader®

Chico Vision Care Optometry

Address

2109 Forest Ave # 50,
Chico, CA 95928

Monday  

8:30 am - 12:30 pm

1:30 pm - 5:00 pm

Tuesday  

8:30 am - 12:30 pm

1:30 pm - 5:00 pm

Wednesday  

8:30 am - 12:30 pm

1:30 pm - 5:00 pm

Thursday  

8:30 am - 12:30 pm

1:30 pm - 5:00 pm

Friday  

8:30 am - 12:30 pm

1:30 pm - 4:00 pm

Saturday  

Closed

Sunday  

Closed

Contact Us

We look forward to hearing from you.