Give us a call:
 661-765-4270
James L. Simonson, O.D.
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Patient Forms


Medical History
File Size: 47 kb
File Type: pdf
Download File

Digital Retinal Imaging
File Size: 73 kb
File Type: pdf
Download File

HIPPA signature page
File Size: 53 kb
File Type: pdf
Download File

Notice of Privacy Practices "HIPAA"
File Size: 84 kb
File Type: pdf
Download File

To save time, please download, print and complete the Medical History, Digital Retinal Imaging,  and HIPPA signature page and review the Notice of Privacy Practices "HIPPA" before your appointment.

We look forward to serving you!
Contact Us
417 Center Street
Taft, CA 93268
Phone: 661-765-4270

Office Hours
Mon    8:00 am - 5:00 pm
Tue     8:00 am - 5:00 pm
Wed    8:00 am - 5:00 pm
Thu     8:00 am - 5:00 pm
Fri       8:00 am - 3:30 pm

Notice of Privacy Practices
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