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30520 Rancho California Rd, Ste 106 in Temecula
Palomar Village Shopping Center (Albertsons/CVS)

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Patient Registration Form

Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to the Temecula Valley Optometry office.

This form contains confidential information and is delivered to your doctor through a secure Internet connection.

Our office has reserved an examination appointment especially for you. If you are unable to keep that scheduled appointment, we do request a 24 hour notification in advance, if you will need to reschedule, so that we can accommodate other patients. You may call the office, leave a message on our voicemail or email us atinfo@drwink.com. We certainly realize that circumstances change and emergencies do occur and, in some instances, a 24 hour notification is not possible, however, please take the time to contact our office to reschedule. If we do not receive any form of notification, a $25.00 “no show” fee will be added to your account.

Dr. Winkelstein and Temecula Valley Optometry are in the process of transitioning to a new location. Currently, we are seeing patients on Mondays, Wednesdays and most Saturdays at MURRIETA OPTOMETRIC, 39872 Los Alamos Road Suite A-10. Their phone number is 951.698.4185, if you need to make an appointment to see Dr. Winkelstein. If you need to reach Dr. Winkelstein directly, please call 951.265.1044 or email him at drwink@drwink.com.

We certainly realize that it has been extremely difficult to reach the office and we are trying to remedy that as soon as possible. This transition has been extremely difficult and I hope you will bear with us. We sincerely thank you for your patience.

Dr. Alan M. Winkelstein