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.

New Patient Health History Form – (Online)

Prior to your visit to our office, please review the Welcome forms directly below (not required to print).

Please complete either the Online Form or PDFs. You can print the forms out or you can edit the forms within Adobe and email back to us to [email protected]


Welcome to the Office

Welcome to Encino
Welcome to West LA


Online Form


Adult Forms

Adult Patient Form

Computer Vision Care Checklist

Expectation Questionnaires


Child Forms

Child Patient Form

Value Quiz

Expectation Questionnaires


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

Encino Office Hours

Our Regular Schedule

Los Angeles Hours

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

10:00 am-6:00 pm

Thursday:

2:00 pm-6:00 pm

Friday:

2:00 pm-6:00 pm

Saturday:

Closed

Sunday:

Closed

Office Hours

Monday:

9:00 am-5:30 pm

Tuesday:

9:00 am-5:30 pm

Wednesday:

9:00 am-5:30 pm

Thursday:

9:00 am-5:30 pm

Friday:

9:00 am-12:00 pm

Saturday:

8:00 am-12:00 pm

Sunday:

Closed