New Patients Form Monterey, CA - Monterey Bay Eye Center

New Patients

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Please fill out the forms and have ready when visiting our office. Kindly arrive (10) minutes before your scheduled appointment to complete the check-in process. We also ask you to: bring a complete list of all your medications and their doses, your insurance and photo ID cards, and any cost-share.

Our full-service Optical Shop has the latest frames and eyewear trends from a broad variety of designers. We invite you to plan some extra time and find the best corrective eyewear product for your lifestyle!

MBEC has a (24) hour cancellation/rescheduling policy.*  If you miss your appointment, cancel, or change with less than (24) hour notice, you will be charged $45. All surgeries require a five day notice for cancellation or rescheduling.  There is a $100 charge for surgeries cancelled or rescheduled with less than five days notice.

* Acceptable noticing period is defined as working days (Monday through Friday from 8am to 5pm).  After hour or weekend voicemail falls outside the acceptable noticing period for cancellations or rescheduling. For payment options please click here.

New patient forms for Drs. Husted, Rosenblum, and Nguyen.

Patient Information (PDF, 125KB)
Medical History Questionnaire (PDF, 140KB)
Refraction Policy (PDF, 121KB)
Notice of Privacy Practices (PDF, 141KB)
Financial Agreement (PDF, 147KB)
Notice of Privacy Practices (copy for your records) (PDF, 132KB)
Contact Lens Fitting and Evaluation Policy (120KB)
Corneal Refractive Therapy Service Agreement (133KB)

Formas para Nuevos Pacientes de Drs. Husted, Rosenblum y Nguyen

Informacion del Paciente (PDF, 167KB)
Cuestionario de Antecedentes Medicos (PDF, 281KB)
Politica de Refraccion (PDF, 226KB)
Notificacion de Practicas de Privacidad (PDF, 377KB)
Acuerdo Financiero (PDF, 235KB)
Notificacion de Practicas de Privacidad (copia para sus propios registros) (PDF, 311KB)
Descargar Todas Formas (PDF, 476KB)

Returning Patients Update and bring the following:

Refraction Policy (PDF, 121KB)
Medical History Questionnaire (PDF, 140KB)
Notice of Privacy Practices (PDF, 141KB)
A list of your current medications
Contact lens box
Bring any corrective eye wear

Surgical Candidates

Cataract Self Candidacy Test

Directions

From Salinas on Highway 68
Continue on 68 for 12.7 miles
Turn right onto York Rd
Take the 1st left onto Wilson Rd
Turn right onto Upper Ragsdale Dr
Turn right
Destination will be on the left

From Marina on Highway 1
Continue on Highway 1 for 7 miles
Take exit 401B to merge onto 68 E
Turn left onto Ragsdale Dr.
Continue onto Upper Ragsdale Dr
Turn left
Destination will be on the left

From Monterey
Take the ramp onto CA-1 N/CA-68 E/Cabrillo Hwy
Take exit 401B to merge onto CA-68 E/Salinas Hwy toward Salinas
Turn left onto Ragsdale Dr
Continue onto Upper Ragsdale Dr
Turn left
Destination will be on the left

Schedule A Consultation

If you would like to schedule a consultation with one of our eye care specialists, please take a moment to fill out the electronic form below. We will be in touch with you as soon as possible to schedule a consultation.

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