Contact Us (310) 882-6365

Pasadena Location Opening in January

Learn More

New Patient Forms

The below questionnaire is to be submitted online prior to your appointment. Carefully preparing this form in advance will greatly increase the efficiency of your Consultation and the information it provides you.

Please review the following form. You do not need to print it. We will have a copy for you to sign in our office. If you have any questions, our staff will be happy to answer them in advance of your appointment.

If you are interested in our privacy practices, click below:

LASIK

PRK

Implantable Contact Lens (ICL)

Refractive Lens Exchange (RLE)

Cataract Surgery

Light Adjustable Lens (LAL)

Other

Notification popup

Lorem ipsum dolor sit amet, consectetur adipisicing elit. Ad alias animi commodi distinctio doloremque eum exercitationem facilis in ipsum iusto magnam, mollitia pariatur praesentium rem repellat temporibus veniam vitae voluptatum.

Lorem ipsum dolor sit amet, consectetur adipisicing elit. Ad alias animi commodi distinctio doloremque eum exercitationem facilis in ipsum iusto magnam, mollitia pariatur

Button

Schedule a Consultation

Life Clarity Focus

Contact Us
Contact us media

Follow Us On Instagram

Follow us on instagram

Recent Blog Posts

News media

Pasadena Office Opening January 2025

Read Article
News media

Dr. Shamie, Dr. Hura & Dr. Maloney Named 2024 SuperDoctors

Read Article
Celebrity media

Kylie Jenner’s LASIK @ Maloney-Shamie-Hura Vision Institute

Read Article
Celebrity media

Peyton List’s EVO Surgery at Maloney-Shamie-Hura Vision Institute

Read Article
View All Articles
Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials

© Maloney-Shamie-Hura Vision Institute. All Rights Reserved.

Terms & Conditions Privacy Policy Sitemap

Notice of Open Payments Database

Digital Marketing & Design by Studio III Marketing
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at (310) 882-6365.