East Hills Vision Care - Patient Forms
East Hills Vision Care

Please print and fill out both the 'Welcome to our Office' form and the "Patient History Questionnaire" before coming in to your appointment.


  These PDFs require a free plugin that may have come included with your browser. If you are having difficulties opening these files Click Here to go to Adobe's web site for Adobe's PDF reader.

1080 South White Rd. Suite A
San Jose, CA 95127
Map It!

Phone: (408) 272-3002
Fax: (408) 272-0820
Email Us

Mon-Tue 9:00am - 6:30pm
Thu 9:00am - 5:30pm
Wed, Fri 8:30am - 5:30pm
Sat 9:00am - 3:30pm

Please note we are closed Tuesday mornings from 10am-11am for Staff Meetings.