Patient Forms

For your convenience, click on the below link and print out the page. Fill out the form and bring it with you to your next appointment to help expedite your visit to our office. 

Patient Eye and Health Information

Larsson Optometry

Our Offices


541 S. Ham Ln., Ste. A Lodi, CA 95242

Mon - Wed | 8:30AM to 5:30PM

(209) 333-2020


1150 W. Orangeburg Ave. Modesto, CA 95350

Fri only | 8:30AM to 5:00PM

(209) 526-9883