1575 B Street, Hayward, CA 94541 | 510-581-1430 | Email Us

Patient Center

At The Optometry Center, we believe in continual improvement of our services. Please take a few moments and share your experience with our office. We appreciate your feedback!

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Patient Center Online Forms

Speed up your visit by completing the necessary form(s) below. For your convenience, you can either fill the form(s) out online or download and print the form(s) and bring it with you to your appointment.

Medical History Form - English - Download & Print

Medical History Form - Spanish - Download & Print

Notice of Privacy Practices - Download & Print

Acknowledgement of Receipt of Notice of Privacy Practices - Download & Print

Phone Payment Authorization - Download & Print


Payment Options

At The Optometry Center, our mission is to provide quality service and products at reasonable pricing. We accept the following payment methods:

  • Cash
  • Check
  • Visa, MasterCard, American Express, and Discover
  • Flexible Spending Plans
  • Health Savings Accounts (HSA)
  • Medical Savings Accounts (MSA)
  • Cafeteria Plans for most of your eye care needs
  • Care Credit

Participating Insurances
Our practice accepts most insurance plans. Coverage may vary from one plan to the next. Please call our office to verify your benefits before your visit.

We participate with the following insurances:

  • VSP
  • Medicare
  • Medical Eye Services
  • EyeMed
  • Spectera
  • Hills Physicians
  • Bay Valley Medical Group
  • Affinity
  • Medi-cal/ Marchvision
  • Many more

Due to COVID-19 and CDC recommendations, we have made changes in our office.Click here for more info!