MARIN OPTOMETRIC GROUP, INC
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PATIENT  FORMS

patient forms

For New Patients:  Please print and fill out the new patient intake form in advance and bring with you to your appointment.
​Privacy Notice
New_patient_intake_form_-_eng.pdf
File Size: 359 kb
File Type: pdf
Download File

Contact Us
1001 GRAND AVENUE
SAN RAFAEL, CA 94901
Phone: 415-453-3812

Fax: 415-453-6712
Email: staff@marinoptometric.com

Office Hours
Mon    9:00 am - 6:00 pm
Tue     9:00 am - 6:00 pm
Wed    9:00 am - 6:00 pm
Thu     9:00 am - 6:00 pm
Fri       8:00 am - 5:00 pm
Sat      8:00 am - 3:00 pm
(2nd and 4th Saturday only)
Notice of Privacy Practices
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  • Home
  • COVID-19 SAFETY PROTOCOL
  • Our Practice
  • Our Services
  • PATIENT FORMS
  • Promotions
  • CONTACT US