Online Forms

At Shermin Lahijani OD, Hollywood Optometrist, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

Download & Print Form


Patient Registration Form


Download & Print Form


Download the Free AdobeReader®

50% off 2nd Pair of Glasses

When you purchase a 2nd complete pair of glasses on the same day as the 1st complete pair of glasses, our office will apply a 50% discount to the lesser pair.

This discount may not be used in addition to any other discount or insurance benefit.

***Please keep in mind that we offer complimentary adjustments to your frame for life. We also warranty most frames if broken due to manufacturer’s defect.

Office Hours

Our Regular Schedule

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

9:00 am-6:00 pm

Friday:

Hours vary

Hours vary

Saturday:

1st of the month

8:00 am-1:00 pm

Sunday:

Closed

Closed

Locations

Find us on the map

Testimonials

Reviews From Our Satisfied Patients

  • "Very friendly and courteous personel. Doctor took the time to explain every thing that was done in a very professional manner."
    Petra R. Los Angeles, CA

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