Dr. June Chun, Optometrist
  • Home
  • Location
  • Our Practice
    • Privacy Notice
  • Our Services
    • Contact Lenses
    • Myopia Control
    • Blutech
    • Eyeglass Guide
    • Special Promotions
    • Ray-Ban Frames
    • Tom Ford Frames
    • Etnia Frames
    • Lafont Frames
  • Eye Disease Detection
  • Sign-up for VSP
  • Patient Forms
  • Eye Care Articles

patient  forms

Patient  Forms


Effective 6/15/2020 we will now be emailing or text messaging patient forms to patients to limit touching and use of paper.

Thank you so much and we will see you soon!
Medical History Form
File Size: 52 kb
File Type: pdf
Download File

The evaluation below is only for individuals who would like to be fitted for contact lenses.
Contact Lens Fitting & Evaluation
File Size: 261 kb
File Type: pdf
Download File

Contact Us
4390 Mission Street
San Francisco, CA 94112
Phone: 415-585-4966
Office Hours
Mon    9:00 am - 5:30 pm
Tue     9:00 am - 5:30 pm
Wed     CLOSED
Thu     9:00 am - 5:30 pm
Fri       9:00 am - 5:30 pm
Sat      9:00 am - Noon
Notice of Privacy Practices
Website by Eyefinity
  • Home
  • Location
  • Our Practice
    • Privacy Notice
  • Our Services
    • Contact Lenses
    • Myopia Control
    • Blutech
    • Eyeglass Guide
    • Special Promotions
    • Ray-Ban Frames
    • Tom Ford Frames
    • Etnia Frames
    • Lafont Frames
  • Eye Disease Detection
  • Sign-up for VSP
  • Patient Forms
  • Eye Care Articles