Glenda B. Secor, OD, FAAO, Inc
  • Home
  • Our Practice
  • Our Services
  • Patient Forms
  • Eye Care Articles
  • Location

patient  forms

Patient Forms

Patient Information Sheet
File Size: 422 kb
File Type: pdf
Download File

For your convenience this form may be printed and completed before your visit to save your valuable time.
Privacy Notice
File Size: 910 kb
File Type: pdf
Download File

For your convenience this form may be printed and completed before your visit to save your valuable time.
Patient Financial Responsibilities
File Size: 147 kb
File Type: pdf
Download File

In order to simplify the check-in and check-out process, we ask that you come to your appointment prepared with the following informaion and knowledge regarding your financial responsibility.
Contact Us
17742 Beach Blvd.Ste 305
Huntington Beach, CA 92647
Phone: 714-596-4488
Office Hours
Mon:    9:00 am - 
12:00pm & 2:00pm - 5:00 pm
Tue:     9:00 am - 
12:00pm & 2:00pm - 5:00 pm
Wed:    9:00 am - 
12:00pm & 2:00pm - 5:00 pm
Thu:     9:00 am - 
12:00pm & 2:00pm - 5:30 pm
Fri:       9:00 am - 
12:00pm & 2:00pm - 5:00 pm
Picture
Notice of Privacy Practices
Website by Eyefinity
  • Home
  • Our Practice
  • Our Services
  • Patient Forms
  • Eye Care Articles
  • Location