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New Patient Form

Please print and fill out the New Patient Form prior to your appointment. It will help to expedite your visit with us.


New Patient Form (for LASIK Consultations)

If you are coming in for a complimentary LASIK consultation, please use this New Patient Form.


Medical Records Release Form


LASIK Consent


PRK Consent

Informed consent to be signed before PRK (Photorefractive Keratectomy) procedure.


Cataract Informed Consent

Informed consent to be signed before cataract extraction and/or IOL implantation procedure.


Pterygium Consent


YAG Posterior Capsulotomy Consent

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Hear From Our Patients

Orsi N., Google +

If you're thinking about LASIK surgery, don't even look further. Dr. Benjamin is the absolute best!! Couldn't be happier with his services.

elgordo123, City Search

Dr. Benjamin was so friendly that I can't wait until my next appointment! I DEFINITELY recommend him to anybody looking for a great ophthalmologist!


Wow, what a huge difference a short 15 minutes makes! Having spent so much of my life helpless without my glasses and inconvenienced by an expensive contacts routine -- suddenly I could see, and with minimal down-time.

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Life is beautiful. See it clearly!

Monday-Friday: 8AM-5PM

9201 Sunset Boulevard, Suite 709
West Hollywood, CA 90069


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