Pacific Eye - Dedicated Physicians caring for your eyes

 

Your Vision Deserves the Best!

CALL US at (805) 545–8100

We are happy to answer your questions over the phone. Our San Luis Obispo office hours are Monday-Friday, 8 a.m. to 5 p.m. For phone numbers and hours for our other offices, click here.

Our Locations - Offices and Surgery Centers

The physicians and staff of Pacific Eye are dedicated to serving you with six offices and five surgical centers, conveniently located throughout the Central Coast.

Office Maps: To download a map to each office, click here.

Surgical Center Maps: To download a map to each surgical center, click here.

Specific Driving Instructions: To link with Mapquest for specific driving directions, click here.

Request An Appointment

If you would like to schedule an appointment, please fill out the form below and one of our patient coordinators will contact you to confirm your appointment.

Note: Please make sure each item on this form is completely filled out so we may fulfill your request. * REQUIRED FIELDS

The purpose of your appointment (choose one)
General eye exam
LASIK consultation
Cataract/refractive surgery consultation
Other

Full Name

 *

E-mail Address

 *

Mailing Address

 

City / State / Zip

Daytime Number

  *

Evening Number

  

Age

Sex

Male Female

How did you hear about our practice? (choose one)

Internet
Staff member
Yellow pages
Family or friend

Optometrist
Physician
Newspaper
Television

How did you find our website? (choose one)
Search engine
Advertisement
Friend
Unknown

 

 or  

This form is intended for general appointment requests. It is not intended for medical advice or care. For immediate assistance or to address a medical question, please call us at 805.545.8100. Please note that this is not a secure email transmission site. We are concerned with protecting your privacy as per federal HIPAA guidelines.

* * *

Patient Forms

To reduce waiting time in our office, we encourage you to download and fill out our Patient Registration Form. Please bring this form with you to your appointment.

To reduce waiting time in our office, we encourage you to download and fill out our Patient Registration Forms*.
For Patient Demographic form in English, click here.
For Patient History form in English, click here.
For Patient Demographic form in Spanish, click here.
For Patient History form in Spanish, click here.

*Please note you will need to bring both the Patient Demographic form and Patient History form with you to your appointment.

If you are unable to open pdf files, you may need to download the free Adobe Acrobat Reader program, which is available at the following location:
Get Adobe Acrobat

 

Vision Care Payment Options

Pacific Eye is pleased to offer our patients affordable, vision care financing programs.

Chase Health Advance SM
At Pacific Eye, financial considerations should not be an obstacle in obtaining LASIK Eye Surgery. Our goal is to make LASIK Eye Surgery affordable for any budget. It is for this reason that we make Lasik affordable by offering a combination of expertise, experience and advanced technology at a price everyone can afford.

Choose any of the following payment options:
• Cash or Check
• Credit Card
• Monthly Payment Plan

Our Chase Health Advance Monthly Payment Plans offer the following:
• Zero Down Payment & Zero Interest for 12 Months
• Zero Down Payment & Low Monthly Payments with Fixed Interest Rate
• Zero Prepayment Penalty

To apply with Chase Health Advance SM, call their toll-free number, 888-519-6111. The application process is fast, easy and completely confidential 24 hours a day, 7 days a week. For a credit application, click here. (Have our Merchant ID# 30071 ready!)

Chase Health Advances

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