Patient Center

At Foothill Optometric Center we believe in making your experience at our office remarkable. Please share your comments with us so we can continue to improve!

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Online Forms

Download the necessary form(s) that you can fill out before your next visit to Foothill Optometric Center in Rancho Cucamonga. Print it out and fill in the required information. Please fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Form (Required) - Complete OnlineDownload & Print

Returning Patient Form (Required) - Complete OnlineDownload & Print


What to Expect Upon Your Visit

Upon your arrival, our receptionist will welcome you as a member of our practice. If you haven't already done so online, we will ask you to complete a few forms. This paperwork provides us with your health history and other information related to providing you with the best vision solutions.


Payment Options

Foothill Optometric Center has products and pricing to accommodate all budgets for your eye care and eyewear needs, including eyeglasses, contact lenses, routine office visits and medical office visits.

  • Cash
  • Check
  • Visa, MasterCard, American Express and Discover
  • CareCredit
  • Flexible Spending Plans
  • Health Savings Accounts (HSA)
  • Medical Savings Accounts (MSA)

Participating Insurances
Foothill Optometric Center works with many insurance carriers and payment plans. To see if we work with your insurance carrier or vision care plan, please call our office for assistance. Our friendly and informed staff will be happy to answer any questions you may have.

Featured Insurance Carrier Partners: