Appointments: (714) 557-9492

PAJE Optometric

PAJE OptometricPAJE OptometricPAJE Optometric

PAJE Optometric

PAJE OptometricPAJE OptometricPAJE Optometric
  • Home
  • Our Services
  • New Patients
  • Order Contact Lenses
  • Request An Appointment
  • COVID-19 Outbreak Update
  • Meet Our Staff
  • Nursing Home Services
  • Virtual Frame Try On
  • Shop
  • Products
    • Computer Glasses
    • Baby Beach Eyewear
  • Our Locations
  • More
    • Home
    • Our Services
    • New Patients
    • Order Contact Lenses
    • Request An Appointment
    • COVID-19 Outbreak Update
    • Meet Our Staff
    • Nursing Home Services
    • Virtual Frame Try On
    • Shop
    • Products
      • Computer Glasses
      • Baby Beach Eyewear
    • Our Locations

Appointments: (714) 557-9492

  • Sign In
  • Create Account

  • Bookings
  • My Account
  • Signed in as:

  • filler@godaddy.com


  • Bookings
  • My Account
  • Sign out


Signed in as:

filler@godaddy.com

  • Home
  • Our Services
  • New Patients
  • Order Contact Lenses
  • Request An Appointment
  • COVID-19 Outbreak Update
  • Meet Our Staff
  • Nursing Home Services
  • Virtual Frame Try On
  • Shop
  • Products
  • Our Locations

Account


  • Bookings
  • My Account
  • Sign out


  • Sign In
  • Bookings
  • My Account

Patient Forms

If you are new to our office, or have had a change in information, please fill out the appropriate questionnaire below and bring it to your appointment. 
Please also bring your updated vision and medical insurance cards along with your driver's license or form of identification.
 Thank you!
Medical History Questionnaire English (pdf)Download
Pediatric Medical History Questionnaire (pdf)Download
Cuestionario de Historia Medica (pdf)Download

Copyright © 2020 PAJE Optometric - All Rights Reserved.

  • Privacy Policy
  • Terms and Conditions

Powered by GoDaddy Website Builder