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818-552-5040
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Sign up or call 818-552-5040/310-659-2200 to make an appointment.

At Kent W. Small, MD Macula and Retina Institute, 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 at 818-552-5044/310-659-2822 or bring them with you to your appointment.

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We strive to provide complete care for our patients. Learn more about all the services we provide.
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Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.