BRANHAM FAMILY EYE CARE
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Patient Forms


When scheduling an appointment, expect to receive and e-mail prompting you to create a patient portal. Forms can be filled out through the
patient portal. 

In case you have issues with our patient portal, you may print out the following Welcome Forms (3 Pages) and bring the completed forms to
your appointment.
​
​If you have any questions, please do not hesitate to contact us.


Welcome Form 1/3
File Size: 459 kb
File Type: pdf
Download File

Welcome Form 2/3
File Size: 467 kb
File Type: pdf
Download File

Welcome Form 3/3
File Size: 338 kb
File Type: pdf
Download File

  • Home
  • Our Practice
  • Our Services
  • Patient Forms
  • Schedule an Appointment
  • Contact Us
Branham Family Eye Care
Keith D. Chow, O.D., Inc. & Associates

1673 Branham Lane
San Jose, CA 95118
Phone: 408-269-6861
Office Hours:
Mon, Tue, Thu, Fri 9:00 am - 5:30 pm
Wed 10:30 am - 7:00 pm
Sat 9:00 am - 4:00 pm
Notice of Privacy Practices
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