Welcome to Valley Vision Care

Thank you for trusting us with your eye care.

Only fields marked with an asterisk (*) are required. You may leave other sections blank if you prefer not to share that information.

Note: Though optional, your Driver’s License and Social Security Number help us verify your identity and are very helpful for insurance or claim purposes.

If you’re uncomfortable providing this information online, you may share it in person on your visit.

Valley Vision Care follows all HIPAA regulations to protect your privacy. Our policy is posted in the office and available upon request.