Gene W. Zdenek, MD
818-708-2222
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Patient Forms

zei-patientforms-electronic-fillable_online.pdf
File Size: 1159 kb
File Type: pdf
Download File

This is our patient Information form. Please print this form and fill it out. Bring it with you to your schedule appointment.
zei_health_history-green-final.pdf
File Size: 144 kb
File Type: pdf
Download File

Please print this form and fill it out. Bring it with you when you come for your appointment.
Contact Us
7012 Reseda Boulevard, Suite B
Reseda, CA 91335
Phone: 818-708-2222
Dr. Zdenek's Office Hours
Mon    8:00 am - 5:00 pm
Tue     8:00 am - 5:00 pm
Wed    12:00 pm - 7:00 pm
Thu     8:00 am - 5:00 pm
Fri      By Appointment Only
Sat      Closed
Optical Reflections Hours
Mon     8:30 am - 5:30 pm
Tue      8:30 am - 5:30 pm
Wed    12:00 pm - 7:00 pm
Thu      8:30 am - 5:30 pm
Fri        8:30 am - 5:30 pm
Sat          Closed
Notice of Privacy Practices
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