Same day appointments available in case of emergencies!

Skip to main content

Patient Forms


Please download and fill out new patient forms prior to your appointment


eye chart

New Patient Form
New Patient Form (Spanish)

Please bring your driver’s license or government issued ID card and your medical insurance card(s) to your appoitment.


Retina Eye Specialists
1936 Huntington Drive, #A
South Pasadena, CA 91030
Phone: 626-414-5168
Fax: 626-795-0121

Office Hours

Get in touch