Dawn M Miller O.D. & Associates
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patient  forms

Patient Forms


Registration/Health History Form
File Size: 363 kb
File Type: pdf
Download File

Please help us save you time by downloading and filling out our Registration/Health History Forms prior to your arrival at our office. If you have been to our office before and the forms look familiar, please understand that it is legally required that we update your information yearly.

​Thank you for your cooperation. We are excited to see you!
Contact Us
12966 Main Street
Garden Grove, CA 92840
Phone:  714-530-5720
Office Hours
Mon    8:30 am - 6:00 pm
Tue      8:30 am - 7:00 pm
Wed    8:30 am - 6:00 pm
Thu      8:30 am - 7:00 pm
Fri       8:30 am - 6:00 pm
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Notice of Privacy Practices
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  • Home
  • Our Practice
    • Our Team
  • Our Services
    • Our Frame Selection
  • Patient Forms
  • Eye Care Articles
  • Patient Reviews
  • News
    • Eye Times Newsletters
  • Location