Online Forms

At Gary L. Etting, O.D., FCOVD, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required (Online)

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

Please Fill Form Here

Welcome to the Office
West LA Office
Value Quiz
Expectation Questionnaires
Computer Vision Care Checklist
Adult Patient Form
Child Patient Form


Download the Free AdobeReader®

Call us at 818-344-3937 or click the link below to schedule an appointment today!

Locations

Find us on the map

Office Hours

Our Regular Schedule

Office Hours

Monday:

9:00 am-5:00 pm

Tuesday:

9:00 am-5:00 pm

Wednesday:

9:00 am-5:00 pm

Thursday:

9:00 am-5:00 pm

Friday:

Closed

Saturday:

8:00 am-12:00 pm

Sunday:

Closed

Los Angeles Hours

Monday:

10:00 am-6:00 pm

Tuesday:

10:00 am-6:00 pm

Wednesday:

10:00 am-6:00 pm

Thursday:

10:00 am-6:00 pm

Friday:

10:00 am-6:00 pm

Saturday:

Closed

Sunday:

Closed