Del Pero Eye Center
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Patient Forms.

Please fill out the following patient information forms and bring them with you to your first visit. Signing "Acknowledgment of Receipt of Privacy Practices" on the form signifies that you have read the Privacy Policy, listed below.

  • Patient Information Form
  • Privacy Policy

[NOTE: This PDF requires a free plugin that may have come included with your browser. If you are having difficulties opening this file Click Here to go to Adobe's web site for Acrobat Reader.]
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Office Hours
Monday - Friday: 8:00 AM - 4:30 PM
Closed Daily for Lunch: 12:30 PM - 1:30 PM


​© 2024 Del Pero Eye Center. All rights reserved.
​Notice of Privacy Practices.
Location
Del Pero Eye Center
950 Tharp Rd #1500
Yuba City, CA 95993


Phone: 530-671-7100
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  • Home
  • About Us
  • Services
  • Optical Shop
  • Patient Resources
    • FAQ
    • Eyecare Articles
  • Contact Us