Patient Forms

To reduce waiting time in our office, we encourage you to download and fill out our Patient Registration Forms. Please bring these forms with you to your appointment.

Please note you will need to bring both the Patient Demographic form and Patient History form with you to your appointment.


If you are unable to open PDF files, you may need to download the free Adobe Acrobat Reader program. Adobe Reader software is the global standard for electronic document sharing. It is the only PDF file viewer that can open and interact with all PDF documents.

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Serving Our Community

Pacific Eye Surgeons has offices in San Luis Obispo, Lompoc, Paso Robles, Pismo Beach, Orcutt, and Santa Maria, California, as well as Optical Concepts in Santa Maria.

1111 E. Ocean Ave, Suite 7
Lompoc, CA 93438
Additional Lompoc Information
1140 E Clark Ave.
Suite 160-B
Orcutt, CA 93455
Additional Orcutt Information
220 Oak Hill Rd.
Paso Robles, CA 93446
Additional Paso Robles Information
931 Oak Park Blvd, Suite 201
Pismo Beach, CA 93449
Additional Pismo Beach Information
3855 Broad Street, Suite B
San Luis Obispo, CA 93401
Additional San Luis Obispo Information
816 East Enos Dr., Suite A
Santa Maria, CA 93454
Additional Santa Maria Information
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