Teresa J. Lui, O.D. Inc.
  • Home
  • Our Practice
    • Policies
  • Our Services
    • Request An Appointment
    • Order Contact Lenses
    • Location >
      • Holiday Hours
    • Eye Care Articles
    • Promotions
  • Patient Forms
  • Privacy Notice
  • Promotions

patient  forms

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
Please note our modified business hours due to COVID19
All Services are by appointment only.
Mon - Wed 9am - 4pm
Thurs - Fri 10am - 5pm
Closed Daily for lunch 1-2

Notice of Privacy Practices
Website by Eyefinity
  • Home
  • Our Practice
    • Policies
  • Our Services
    • Request An Appointment
    • Order Contact Lenses
    • Location >
      • Holiday Hours
    • Eye Care Articles
    • Promotions
  • Patient Forms
  • Privacy Notice
  • Promotions