Manhattan Beach
(310) 546-5568

Patient Forms

At Stein Optometric Center, we value your time. In an effort to save you time in our office, you can download and complete our patient forms prior to your appointment.

Patient Exam Information Form
Notice of Privacy Practices
Red Eye Questionnaire
COVID-19 Questionnaire

Please print out and complete our Patient Exam Information Form before you come in for your next appointment. The information you share with us helps our eye doctors give you the best care and helps our staff coordinate everything most efficiently with your vision care plans and save you time in the office. Thanks!

Information you share with us is handled as outlined in this Notice of Privacy Practices, and in accordance with HIPAA Federal policies.

Manhattan Beach

  • Monday
  • 9:00 AM - 6:00 PM
  • Tuesday
  • 9:00 AM - 6:00 PM
  • Wednesday
  • 9:00 AM - 6:00 PM
  • Thursday
  • 9:00 AM - 6:00 PM
  • Friday
  • 9:00 AM - 6:00 PM
  • Saturday
  • 9:00 AM - 6:00 PM
  • Sunday
  • Closed - Closed

Burbank

  • Monday
  • 9:00 AM - 6:00 PM
  • Tuesday
  • 9:00 AM - 6:00 PM
  • Wednesday
  • 9:00 AM - 6:00 PM
  • Thursday
  • 9:00 AM - 6:00 PM
  • Friday
  • 9:00 AM - 6:00 PM
  • Saturday
  • 9:00 AM - 6:00 PM
  • Sunday
  • Closed - Closed

Schedule an appointment with our office today!