Barranca Optometry
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  • OUR PRACTICE
    • ABOUT US
    • OUR SERVICES
    • PROMOTIONS
  • INSURANCES
  • INDIVIDUAL VISION PLAN
  • NEW PRODUCTS
  • EYE CARE ARTICLES
  • PATIENT FORMS

Patient Forms

Click on the forms below to download and print, then just bring it with you to your appointment,
Patient Information Form.pdf
File Size: 381 kb
File Type: pdf
Download File

Patient Privacy Agreement
File Size: 121 kb
File Type: pdf
Download File

About Your Insurance
File Size: 93 kb
File Type: pdf
Download File


For your convenience, the three forms have also been bundled into one file for a quick and easy download.
Patient Forms.pdf
File Size: 1476 kb
File Type: pdf
Download File

Barranca Optometry
4482 Barranca Parkway, Suite 190
Irvine, CA 92604
Phone: 949-559-8838
Fax: 949-559-9371

Email: [email protected]


Office Hours:

Mon, Wed, Thu:       11:00 am - 7:00 pm

Fri:                               10:00 am - 6:00 pm
Sat:                                9:00 am - 4:00 pm

Appointment is recommended for all services.

We appreciate your understanding and cooperation, and look forward to serving you!
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Notice of Privacy Practices
Website by Eyefinity
  • HOME
  • OUR PRACTICE
    • ABOUT US
    • OUR SERVICES
    • PROMOTIONS
  • INSURANCES
  • INDIVIDUAL VISION PLAN
  • NEW PRODUCTS
  • EYE CARE ARTICLES
  • PATIENT FORMS