AMADOR EYE CARE ASSOCIATES
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patient  forms 

Patient  Forms


New Patient Welcome Form
File Size: 313 kb
File Type: pdf
Download File

If you are a new patient or have not been seen in our office for any kind of appointment in the last year, feel free to print and fill out the forms below and bring them in with you to your appointment.  If you have any questions, please call our office any time during normal business hours and a staff member will gladly assist you.
Lions Club Application
File Size: 62 kb
File Type: pdf
Download File

There is a program through Jackson Lions Club for financial assistance with an eye exam and glasses if you meet certain criteria. You may fill out this form in its entirety and return to Amador Eye Care. Jackson Lions Club must be approved before you have your appointment. 

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Contact Us
10 BRYSON DRIVE
SUTTER CREEK, CA 95685
Phone: 209-223-1402
Fax: 209-267-0473

Office Hours
Mon    8:00 am - 5:00 pm
Tue     8:00 am - 5:00 pm
Wed    8:00 am - 5:00 pm
Thu     8:00 am - 5:00 pm
Fri       8:00 am - 5:00 pm



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  • Home
  • COVID-19 Statement
  • Our Practice
    • Closed Holidays
  • Our Services
    • Optomap
    • Eye Care Articles
  • Patient Forms
  • Frames and Lenses
  • Location