Patient Forms

If you are a new patient to our office, please print out the first two forms below, complete them, and bring them to the office for your appointment - Thank you. 

You can also e-mail the two forms below to us at

Please do not hesitate to call our office if you have any questions.

Patient History Questionnaire.pdf
Contact Lens Policy.pdf
Neurolens Digital Lifestyle Index Form
Dry Eye Questionnaire

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Kathleen Andersen, OD
Bringing Your World Into Focus

Rancho Santa Margarita Optometrist (eye doctor), Dr. Kathleen Andersen is dedicated to excellence in optometry such as eyeglasses, izon lenses, contact lenses, general eye examinations, and laser eligibility exams. Dr. Andersen co-manages with the finest surgeons for LASIK and other ocular surgery like cataract surgery. Dr. Andersen is proud to serve Rancho Santa Margarita, Ladera Ranch, Mission Viejo, Coto De Caza, Dove Canyon, Trabuco Canyon and Surrounding communities.

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