Here at Burbank Optometric Center, Inc., we love meeting new patients. Part of easing your concerns is explaining what you can expect from our practice. When you are new to our office, we put in the effort to provide you with a positive and comforting experience. Once you have been with us for a while, you can continue to expect the highest level of service. We focus on providing quality optical care, excellent customer service, and a relaxing environment to maintain a lasting patient relationship. We consider your first visit the start of a long-term relationship with you.

We promise to tailor each and every appointment to fit your unique and individual needs. We look forward to meeting you!

Online Forms

It is always our goal at Burbank Optometric Center, Inc. to give you the eye care you deserve in a timely manner.

In order to ensure that your first visit goes smoothly, you may want to complete the forms below prior to your visit. You can even fax us your forms or drop them off prior to your appointment to speed up your first visit.

COVID-19 Questionnaire: Download & Print Form

Adult Medical Questionnaire: Download & Print Form OR Fill Out Online

Records Request Form: Download & Print Form

Contact Lenses Policy & Service Agreement: Download & Print OR Fill Out Online

Children’s Medical History Questionnaire – Download and Print

Teacher Questionnaire: Download & Print

Privacy Notice: Download & Print

You will need Adobe Reader® installed on your computer. If you don’t have it, click Here to download.


Here at Burbank Optometric Center, we are proud to accept most forms of vision insurance. In-Network Medical Plans: Anthem Blue Cross Blue Shield and Medicare.

We know how confusing insurance can be, so we are here to help!

If you have insurance, please let us know when you are scheduling your appointment. If possible, give us the information so that we will know exactly what your insurance covers before you come into our office.

When it is time for your appointment, we will go over your benefits. If you need eyeglasses or contact lenses, we will be able to discuss what your insurance will pay and what you are required to pay. This may make making decisions about your glasses or contacts easier.

We will take care of your insurance claims for you so that you don’t have to worry about them. We will do our best to get you as much help as we can using your insurance so you have less to pay out of pocket. However, please know that you are required to pay whatever your insurance does not cover even if our estimate was wrong.

For more information on your initial visit or to schedule an appointment, please don’t hesitate to call us today at (818) 845-3549!