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Home » Contact Us » Online Patient Registration Form

Online Patient Registration Form

lock icon Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office. This form contains confidential information and is delivered to your doctor through a secure Internet connection.

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Due to the California order to “stay at home”, our office will be closed for routine visits. We will be available for patient emergencies.

-If you consider that you have an emergency, call us at 951-609-9099. If it is after office hours, leave a message and a staff member will get back to you.

-If you have glasses or contacts to pick up, a staff member will be in the office from 9 am- 5 pm Monday thru Friday and 9 am- 4 pm on Saturday. Call the office at 951-609-9099 when you are at our front door and the staff will bring your item(s) to you.

-If you are a contact lens wearer and are getting low, call our office so that we can arrange to have an emergency supply shipped directly to your home.

-If you are having an eyewear emergency, please call us so that we can help.

Any questions, call us!

Stay healthy,

Dr. Wilson and the Bear Creek Eye Care Optometry staff

951-609-9099