Melinda Wells OD
Give us a call:
​949-859-3180
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Patient Forms

New Patient Form
File Size: 58 kb
File Type: pdf
Download File

HIPAA
File Size: 56 kb
File Type: pdf
Download File

Retinal Imaging
File Size: 54 kb
File Type: pdf
Download File

Please print and fill out the above forms before coming to your first appointment to save time!
Contact Us
Melinda Wells, O.D.
23591 El Toro Road, Suite 145
Lake Forest, CA 92630
Phone: 949-859-3180
Fax: 949-859-3976
Office Hours
Tue     9:00 am - 5:30 pm
Wed    9:00 am - 5:30 pm
Thu     9:00 am - 5:30 pm
Fri       9:00 am - 5:00 pm
Sat      9:00 am - 2:00 pm
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