Online Patient forms
New Patients

Please complete the online forms, before your first office visit.

If you prefer not to complete these forms online beforehand, please arrive 10 minutes prior to your visit.


Existing Patients If you have a passcode from our office, please enter, and continue. If you have not received a passcode, please contact our office, or select New Patient Form to answer relevant health information.

Passcode:

Beach Cities optomery logo
Beach Cities Optometry
1103 Highland Ave.
Manhattan Beach, CA 90266
(310) 376-8975
beachcitiesoptometry@gmail.com
Drs. Stahl & Calder logo
Drs. Stahl & Calder, Optometrists
1142 Redondo Beach Blvd.
Gardena, CA 90247
(310) 323-5095
gardenaeyes2020@gmail.com