DR. GUTIÉRREZ OPTOMETRY
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  • Our Practice
  • Order Contacts Online
  • Services
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    • Order Contacts Online
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patient forms

Patient Forms

Please take a moment to download and complete the above Patient History Form before your appointment.
 
Thank you!


Patient History Form - English
File Size: 350 kb
File Type: pdf
Download File

Patient History Form - Spanish
File Size: 357 kb
File Type: pdf
Download File

Hippa Acknowledgement Form
File Size: 355 kb
File Type: pdf
Download File

Dr. Anacleto "Nick" Gutiérrez, O.D., MPH



LOCATION
2615 Capitol Avenue
Sacramento, California 95816

PARKING
Limited parking behind office.  Metered parking on street.  
Pro tip, Use PARKING  App for excellent management of your parking space time frame! 



TEL.  916.447.2020

OFFICE HOURS
Monday - Friday
9 AM- 5PM
we do not close for lunch



We are ADA compliant.
Please e-mail us concerning  ADA compliance.

  • welcome
  • Our Practice
  • Order Contacts Online
  • Services
    • Schedule Appointment Online
    • Order Contacts Online
    • Patient Forms
    • Eye Care Articles
  • OFFICE INFORMATION