El Paso West EyeCare & Contact Lens Center
In order to provide you the best possible care, please complete this formand bring it to your first appointment. All information is strictly CONFIDENTIAL.
I understand and agree that health/accident insurance policies are an arrangement between an insurance carrier and myself. I understand and agree that all services rendered to me and charged are my personal responsibility for timely payment. I understand that if I suspend or terminate my care/treatment, any fees for professional services rendered to me will be immediately due and payable.
Please do not submit any Protected Health Information (PHI).
Thank you. Your submission has been sent.
Monday
10:00 am - 6:00 pm
Tuesday
Wednesday
Closed
Thursday
9:00 am - 5:00 pm
Friday
Saturday
9:00 am - 3:00 pm
Sunday
655 Sunland Park Dr #1b El Paso, TX 79912