Online Forms

At iMatrix Internal, 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.

Download & Print Form


Download the Free AdobeReader®

Primary Location

Address

194 Francisco Ln #118
Fremont, CA 94539

Monday  

Alternate Weeks

9:00 am - 5:00 pm

Tuesday  

9:00 am - 1:00 pm

2:00 pm - 6:00 pm

Wednesday  

10:00 am - 1:00 pm

2:00 pm - 7:00 pm

Thursday  

9:00 pm - 1:00 pm

3:00 pm - 6:00 pm

Friday  

8:00 pm - 1:00 pm

2:00 pm - 5:00 pm

Saturday  

Alternate Weeks

8:00 am - 1:00 pm

Sunday  

Closed

No form settings found. Please configure it.