Win Retina

New Patient Forms

New Patient Forms

Thank you for helping us expedite the clinic process by filling out your New Patient Forms before your visit, you may download the forms, print, fill them out, and bring them to your first visit along with:

  • A list of all medications and eye drops you are currently taking, you can also bring the medications to your appointment so our technicians can take the medication names down.
  • Any contact lenses or glasses you currently wear
  • Your current insurance cards
  • Referrals from your primary care physician if your insurance requires a referral to see a specialist.
  • A valid picture identification card.
How can we help you?

Our goal is to ensure that every patient is given personalized care and treatment and that all of their questions and concerns are fully addressed.

Scheduling an appointment with Dr. Win was a breeze. Due to my busy work schedule, I am only able to see him on Saturdays. I was quite nervous visiting Dr. Win about my retinal detachment as I have been ignoring this issue for quite sometime. He and his staff put my mind at ease. With several treatments, my vision has improved significantly. I love being able to see again.

Lee J.
Irvine, CA

We Understand The Importance Our Patients Place On Their Vision.

Exit mobile version