Dr. David Butchert, Optometrist
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  • Our Practice
  • Services
    • Comprehensive Exams/Insurance Plans Accepted
    • Frames and Contact Lenses
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Patient Forms

For those of you who would like to fill out your paperwork ahead of time, here is the patient history form and the Privacy Policy Form.  Both need to be filled out prior to the exam.  

  • Patient History Form
  • Privacy Policy

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Dr. David Butchert, O.D.
11847 South St
Cerritos, CA  90703

Phone: 562-865-6119
Fax: 562-865-4665

Email
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Notice of Privacy Practices.
Website by Eyefinity
  • Home
  • Location
  • Our Practice
  • Services
    • Comprehensive Exams/Insurance Plans Accepted
    • Frames and Contact Lenses
  • Appointments
    • Patient Forms
  • Dr. B. Blog