Patient Forms | San Francisco | Kurtbay Optometry

Patient Forms

A. Forms required for New Patients and Patients whose last visit was 3+ years ago

B. For first time contact lens wearers with our office and Patients whose last visit was 3+ years ago

C. For all patients who haven't been in our office in the last year

Phone: (415) 759-5448

Address: 750 Irving San Francisco, California 94122 Inner Sunset, near Golden Gate Park and UCSF

Email: drkurtbay@gmail.com

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Dr. Kurtbay Optometry

750 Irving Street

San Francisco, CA 94122

(Phone) 415-759-5448

(Fax) 415-759-9399

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All places of contact (equipment, tools, pens, chairs, tables) are disinfected between each patient visit.
All interactions will be as touchless as possible.
All frames, including frames brought for adjustment, are washed with a disinfectant solution and soap.
Restrooms are currently unavailable due to higher transmission risk.
Masks are required at this office.
By signing this document, I understand Dr. Kurtbay Optometry is taking measures to mitigate the risks of infection and will not hold my doctor or office staff responsible if I contract Covid-19 or any other virus.

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