Patient Forms

Medical History Form
File Size: 202 kb
File Type: pdf
Download File
New patients can streamline your registration process by completing the Medical History Form before your appointment.  Feel free to email or fax it back to us.
 
Email: info@drteresalui.com or Fax (866) 805-6069
Contact Us
Teresa J. Lui, O.D. & Jennifer Lin, O.D.
616 Ramona Street, Suite 2
Palo Alto, California 94301
Phone: (650) 321-9525
Office Hours
Mon    7:30 am - 4:30 pm
Tue     9:00 am - 6:00 pm
Wed    7:30 am - 4:30 pm
Thu     10:00 am - 7:00 pm
Fri       9:00 am - 6:00 pm
Closed Daily Between 1-2 for Lunch
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