Barranca Optometry
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  • OUR PRACTICE
    • ABOUT US
    • OUR SERVICES
    • PROMOTIONS
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  • NEW PRODUCTS
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  • 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

OUR OFFICE WILL BE CLOSED SATURDAY, SEPTEMBER 5TH TO TUESDAY, SEPTEMBER 8TH. WE WILL RESUME BUSINESS HOURS ON WEDNESDAY, SEPTEMBER 9TH AT 11AM. 

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