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Practice Name

Dr. Shameem Khan Optometrist, Inc.

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Primary Location
13768 Roswell Ave St 208
Chino, CA 91710
Phone: 909-627-2020
Fax: 909-627-2021

Office Hours

DayMorningAfternoon
Monday9:00am5:30pm
Tuesday9:00am5:30pm
Wednesday9:00am5:30pm
Thursday9:00am5:30pm
Friday9:00am5:30pm
Saturday10:00am2:00pm
SundayClosedClosed
Main Content

At Dr. Shameem Khan Optometrist, Inc., 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


Nuevo Formulario de Historia de Salud del Paciente – Requerido

Por favor, complete este formulario , ya que nos permite conocer la historia y el estado actual de su salud. Háganos saber lo que preguntas , preocupaciones y objetivos de su haber con respecto a su salud de los ojos o la visión en el formulario.

Download & Print Form


Download the Free AdobeReader®

Services

Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Testimonial

I am a City of Chino Hills employee and I went to Dr. Khan for a regular eye exam.  Both her and her staff were very professional, efficient  and extremely patient with all my questions and concerns.  The whole process from the exam to getting my first pair of glasses went smoothly.  I highly recommend her to all my other colleagues, friends and relatives.  Actually my husband also made his appointment with Dr. Khan and was extremely pleased by the service received.  Thank you Dr. Khan and your staff!  You're awesome.

- S.A

Office Hours

DayMorningAfternoon
Monday9:00am5:30pm
Tuesday9:00am5:30pm
Wednesday9:00am5:30pm
Thursday9:00am5:30pm
Friday9:00am5:30pm
Saturday10:00am2:00pm
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00am 9:00am 9:00am 9:00am 9:00am 10:00am Closed
5:30pm 5:30pm 5:30pm 5:30pm 5:30pm 2:00pm Closed

Contact

  • 13768 Roswell Ave St 208 Chino, CA 91710
  • 909-627-2020
  • Get Direction
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