Jewel City Optometry | Eye Doctor In Glendale, Ca

Patient Center

Patient Forms

At Jewel City Optometry, we offer patient forms online so you can complete them in the convenience of your own home or office. You may email us the completed forms or bring them with you on your next visit.


  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out, and fill in the required information.

Welcome Forms

BVD Intake Forms

Welcome Front

Welcome Back

Notice of Privacy

Jewel City Optometry Financing

For your convenience, you are able to pay your bill online. Click on the button to make the payment.

​​​​​​​Payment Options

We offer a wide range of payment options to meet our client's needs and ensure that we can provide the best services possible. We accept the following payment methods:

Apple Pay


We participate with VSP, Medicare, Medicaid, MES, AVESIS, EYEMED, OPTUM HEALTH(SPECTERA), DAVIS and NVA.


Check with our staff if you have other types of coverage.

We also accept Medical insurance along with Vision discount plans. Examples include Aetna PPO, Anthem Blue Cross PPO, Blue Shield PPO and Cigna PPO.

VSP Insurance

Order Your Vitamins Here:

PRN Vitamins:

Our practice partners with PRN to get you the best pricing on our recommended products.

MacuHealth Vitamins:

Our practice partnered with MacuHealth to bring you the best vision supplements.

If you have any questions, please give us a call (818) 240-3937.

Our Reviews

Jewel City Optometry Eye doctor in glendale, ca

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