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Online Forms

At Coastal Eye Care, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

 You will need AdobeReaderĀ® to download and complete the forms. Click the link below if you need to install the program.

 Download the required form(s). Print out the form(s) and complete the required information.

 Fax your printed and completed form(s) to our office or bring them with you to your appointment.


New Patient Welcome Form

Download & Print Form


New Patient Health History Form

Download & Print Form


Download the Free AdobeReaderĀ®

By One Pair of Glasses and receive 30% Off Your Second Pair!

Locations

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Office Hours

Our Regular Schedule

Long Beach

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-4:00 pm

Saturday:

Closed

Sunday:

Closed

Astoria

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-4:00 pm

Saturday:

Closed

Sunday:

Closed

Seaside

Monday:

8:00 am-5:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-4:00 pm

Saturday:

Closed

Sunday:

Closed