DR BASS VISION CENTER
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Patient Forms


Welcome/Medical History forms
File Size: 23 kb
File Type: pdf
Download File

For your convenience, please feel free to print and complete this Welcome / Medical History Record before your office visit.

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Contact Us
Dr Bass Vision Center
130 S Main Street, Suite F
Orange, CA 92868
Phone: 714-939-9202

Office Hours
Mon    9:30 am - 5:30 pm
Tue     9:30 am - 5:30 pm
Wed    9:30 am - 5:30 pm
Thu     9:30 am - 5:30 pm
Fri      CLOSED
Closed for lunch 1pm-2pm 
on the weekdays
Sat      9:00 am - 2:00 pm






Notice of Privacy Practices
Website by Eyefinity
  • Home
  • Our Practice
  • Our Services
  • Patient Forms
  • Special Events
  • Eye Care Articles
  • EYE EXAMS
  • 1 HOUR SERVICE
  • LASIK
  • CONTACT LENSES
  • Locations