DR. FRED SLATER, OPTOMETRIST
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Patient Forms

Patient Forms

Annual Exam Questionnaire
File Size: 207 kb
File Type: pdf
Download File

If you are coming in for your annual eye exam (glasses, contacts, or routine eye exam), please bring this completed form with you to your appointment. You may view the form by clicking the "Annual Exam Questionnaire" link above.
Medical Questionnaire
File Size: 3442 kb
File Type: pdf
Download File

If you are coming in with a specific medical eye problem (red eye, foreign body, cornea abrasion), please bring this completed form with you to your appointment.

​You may view the form by clicking the "Medical Questionnaire" link above.
   Contact Us
    Dr. Fred Slater, Optometrist
    The Pruneyard Shopping Center
    1875 S. Bascom Ave Suite 110
    Campbell, CA 95008
    Phone: 408-377-1212

Office Hours
Mon    9:00 am - 7:30 pm
Tue     9:00 am - 7:30 pm
Wed    9:00 am - 7:30 pm
Thu     9:00 am - 7:30 pm
Fri       9:00 am - 7:30 pm
Sat      9:00 am - 5:00 pm

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  • Home
    • Directions
  • Our Practice
    • Testimonials
  • Protocols for Covid-19
  • Our Services
    • Eye Care Articles
  • Patient Forms
  • Order Contacts Online
  • Directions