APPOINTMENTS

To make an appointment, call (707) 546-9800 between 8:30 a.m. and 5:00 p.m. weekdays. Our staff is skilled at determining the kind of appointment you need, and you can help by briefly explaining the reason for your visit.

  

EYE CARE INSTITUTE

1017 Second St.

Santa Rosa, CA 95404

Phone: 707-546-9800

Fax: 707-546-4112

HOW TO FIND US

 
Interested in NearVision CK?

Learn what might be your best option for vision correction.
Take this quick survey to learn which vision correction options may best fit your specific needs.
   
  1. Are you over age 40? YesNo
   
  2. Have you had good vision up until turning 40? YesNo
   
  3. Describe your vision. Which of the following problems do you have? (Check all that apply)
  
Seeing things far away?
  
Seeing things near?
  
Reading a newspaper or book?
  
Driving at night?
  4. Have you previously undergone a vision correction procedure? YesNo
  
LASIK
  
RK
  
PRK
  
LTK
  
Intraocular
  5. Do you suffer from any of the following eye disorders?
  
Cataracts
  
Dry eye
  
Glaucoma
  
Retinopathy
  
Other
  
None
  6. Are you pregnant or nursing? YesNo
  7. Do you suffer from any chronic illness or disease? YesNo
   
 
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Address:  
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*Phone(day)  
*e-mail:  
   
Questions or Concerns?
 
  *Indicates response required.

 

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