WENDY SHEM YEH, O.D.
  • HOME
  • MEET THE DOCTOR
  • Our Services
    • Eye Exams
    • Vision Therapy
    • Contact Lenses
    • Optical Dispensing
    • Promotions
  • Eye Care Articles
  • Patient Forms
  • MAKE AN APPOINTMENT

Patient  Forms

Patient Forms

HIPPA Records Release Form
File Size: 139 kb
File Type: pdf
Download File

Medical History Form
File Size: 52 kb
File Type: pdf
Download File

Vision Therapy Questionnaire for Parent
File Size: 110 kb
File Type: pdf
Download File

Vision Learning Questionnaire for Teacher
File Size: 227 kb
File Type: pdf
Download File

Vision Therapy- Learning Related Vision Problems Diagnosis & Treatment Information
File Size: 101 kb
File Type: pdf
Download File

Vision Therapy Symptoms Questionnaire
File Size: 225 kb
File Type: pdf
Download File

Office Hours
*Mon    8:00 am - 6:00 pm
*Tue     8:30 am - 7:00 pm
*Wed    8:00 am - 5:30 pm
*Thu     8:30 am - 5:30 pm
 Fri       8:30 am - 3:00 pm
 Sat      8:00 am - 2:00 pm
*Monday-Thursday Office is
closed for Lunch 12pm-1:30pm

Wendy S. Yeh, O.D.
1368 East Walnut Street
Pasadena, California 91106-1528

Phone: 626-796-3105
Email: drwendystaff@gmail.com
Notice of Privacy Practices
  • HOME
  • MEET THE DOCTOR
  • Our Services
    • Eye Exams
    • Vision Therapy
    • Contact Lenses
    • Optical Dispensing
    • Promotions
  • Eye Care Articles
  • Patient Forms
  • MAKE AN APPOINTMENT