Complete Eye care since 1979
Pacific Eye Care Center accepts most medical insurances and we are HMO providers for Affinity Medical Group. We accept Vision Service Plan (VSP) and Medical Eye Services (MESVision) vision insurances. Please call us if you have questions regarding your insurance and how it would work for your visit.
Hospital and Surgical Facilities:
John Muir Medical Center - Walnut Creek Campus & Concord Campus, Aspen Surgery Center, Walnut Creek
New Patient Registration Forms
To save time, you can download, print and complete our forms before coming to your first appointment. Please feel free to call our office if you have any questions regarding these forms.
It is not necessary
to print this form.
Please print these forms and complete them before your visit:
RECORDS RELEASE FORM: If you would like to have your records released to another doctor from our office, please print and complete this form. You can fax it to us at 925-945-0360 or mail it to or drop it off at 1270 Arroyo Way, Walnut Creek, CA 94596. Please note there may be up to a $25.00 fee to cover copying and sending your records that is due before we can release them.
RECORDS REQUEST FORM: If you would like to have your records sent to Pacific Eye Care Center from another office, please print and complete this form and send it to the office you wish to request the records from.