Pleasanton Optometry - Patient Forms
Pleasanton Optometry
At your convenience, please print, fill out and bring the Patient Registration Form with you on your next office visit.

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1400 Santa Rita Road, Suite B
Pleasanton, CA 94566
Map It!
In the Alisal Medical Complex next door to Alisal Elementary School

Phone: (925) 846-4364
Fax: (925) 846-7825
Pager: (925) 846-4364


Mon-Thu 9:00am - 6:00pm
Fri 9:00am - 3:00pm
Saturdays by appointment. We are open during lunch hour!