ALLEN L. BEEDE, O.D. & LISA Y. SHIROISHI, O.D.
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patient  forms

Patient  Forms


At your convenience, please print and fill out the Patient Information form prior to your office visit.
Registration.pdf
File Size: 115 kb
File Type: pdf
Download File

At your convenience, please print out and sign our Privacy Policy form.
Notice of Privacy Practices.pdf
File Size: 15 kb
File Type: pdf
Download File

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Contact Us:
Phone: 408-294-3722  or TEXT: 408-900-6152

e-mail us
240 Meridian Avenue, Suite #3
San Jose, CA 95126
Office Hours:
Monday -  Friday  8:30 am - 5:00 pm
(parking gates are closed at 5:00)
Notice of Privacy Practices
Website by Eyefinity

  • Home
  • Our Practice
    • Promotions
  • Services
    • Frames & Lenses
    • Contact Lenses
    • Eyecare Center
    • Technology
    • Eye Care Articles
  • Location
  • Patient Forms