Oxnard Office

(805) 483-4804

Westlake Village Office

(805) 497-7976

Online Forms

At Access Eye Institute, 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.
  • 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

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 you have regarding your eye health or vision on the form.

Intake Form (English)

Intake form (Spanish)


Download the Free AdobeReader®

Oxnard Office

Address

1901 North Solar Drive Suite 110,
Oxnard, CA 93036

Westlake Village Office

Address

2820 Townsgate Road Suite 100,
Westlake Village, CA 91361

Appointment Request

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Please do not submit any Protected Health Information (PHI).

Hours of Operation

Monday  

8:30 am - 5:00 pm

Tuesday  

8:30 am - 5:00 pm

Wednesday  

8:30 am - 5:00 pm

Thursday  

8:30 am - 5:00 pm

Friday  

8:30 am - 5:00 pm

Saturday  

Some Saturday Clinics Available

Sunday  

Closed