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909 445 8535

7798 Cherry Ave, Fontana, CA 92336, USA

Saranya Bala, M.D.
About Us
- Our Staff
Our Services
Patient Information
Referral
Contact

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Saranya Bala, M.D.
About Us
- Our Staff
Our Services
Patient Information
Referral
Contact

Saranya Bala, M.D.
About Us
- Our Staff
Our Services
Patient Information
Referral
Contact

Name

Email

Date

Fax

Patient Phone Number

Insurance Name

Insurance ID#

Referring Doctor

Reason for consultation, check all that apply

Cataract Laser cataract correction Diabetic eye care Red eye Dry eye Chalazion/stye/lid lesion Flashes /floaters Macular degeneration Pterygium Blurred vision Acute vision loss Glaucoma Other (Please Explain below)

If selected "other" above, please explain

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Consult your doctor or another skilled health care professional before making any decisions.

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Saranya Bala, M.D.
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Our Services

Cataract
Glaucoma
Dry Eye Treatment
Diabetic Eye Care
Pterygium
Macular Degeneration
Flashes and Floaters
LASIK/PRK
Chalazion and Stye

Office Hours

Monday-Friday
8:30 AM – 4:30 PM

Saturdays & Sundays
Closed

Contact Us

Email
Info@eyesofsocal.com

Phone
909 445 8535

Fax
909 552 8955

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