ROHNERT PARK OPTOMETRIC CENTER
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To schedule an appointment, please click on "COMPLETE PATIENT FORM" button below. 
Once you have completed the form on our secure website, we will review the form and call you. 
You can also call our office to schedule an appointment.   (707) 584-1233
Complete patient form

To upload a document , click on the  "UPLOAD DOCUMENT(S) TO OUR SUCURE WEBSITE" button below.  This is a HIPPA compliant secure website.
UPLOAD DOCUMENT(S) TO OUR SECURE WEBSITE

Work space evaluation forms for computer glasses  (VDT).  We have several ways to complete and submit forms to us:
  • Fill-out on computer: Click on pdf download "VDT Evaluation Form (Fillable)" and fill it out.  Then save the completed form to your computer, then upload it to our secure website - by clicking on the Upload Document(s) tab above.
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  • Print: ​Click on pdf download "VDT Evaluation Form (Printable) and print it.  Once you have completed the form. you can  Scan it to your computer, and then upload it to our secure website - by clicking on the Upload Document(s) tab above. 
  • Or you can it Fax# (707) 584-1387,  Drop off at our office, or mail it to us at:  987 Golf Course Drive
    Rohnert Park, CA 94928
VDT Evaluation Form (Fillable).pdf
File Size: 160 kb
File Type: pdf
Download File

VDT Evaluation Form - (Printable).pdf
File Size: 123 kb
File Type: pdf
Download File


Our Privacy Practices:
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We want to ensure that you have access to our privacy practices. You may view them here. (clickable) Our privacy practices let you know how we use your information in our office and are similar to the privacy practice information you would receive at any healthcare facility. Please print your name, sign, and date on this form so that we know that you received this information.
Contact Us
987 Golf Course Drive
Rohnert Park, CA 94928
Phone: 707-584-1233
Office Hours
Mon    10:00 am - 5:30 pm
Tue     11:30 am - 5:30 pm
Wed   2:00 - 7:30 pm
Thu     11:30 am - 5:30 pm
Fri       closed
Please note that these hours may vary.
Notice of Privacy Practices
Website by Eyefinity
  • Home
  • Our Practice
    • Eco commitment
    • Privacy Notice
  • Patient Forms
  • Our Services
  • Eye Care Articles
  • Optical Boutique
  • Location