Scroll Down

Online Forms

Dr. Trujillo

We understand that your time is precious and that you need an ophthalmologist who is professional, yet convenient for your lifestyle. In order to make the transition to our office smoother for you and in an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

Thank you for choosing us and we look forward to seeing you.


New Patient Health History Form – Required

Please complete this form to inform us of your medical history and current state of your health. Let us know what questions, concerns, and goals you have regarding your eye health or vision on the form.

New Patient Information Form (Spanish/English)

Fill Form Online
Download & Print Form


Notice of Privacy Policy Form

Fill Form Online

Download & Print Form


Download the Free AdobeReader®

Hours of Operaton

Our Regular Schedule

San Antonio (Alamo Heights) Hours

Monday

8:00 am - 12:00 pm

1:00 pm - 5:00 pm

Tuesday

8:00 am - 12:00 pm

1:00 pm - 5:00 pm

Wednesday

8:00 am - 12:00 pm

1:00 pm - 5:00 pm

Thursday

8:00 am - 12:00 pm

1:00 pm - 5:00 pm

Friday

8:00 am - 12:00 pm

1:00 pm - 5:00 pm

Saturday

Closed

Sunday

Closed

Floresville Hours

Monday

Closed

Tuesday

Closed

Wednesday

Closed

Thursday

9:00 am - 2:00 pm

Friday

Closed

Saturday

Closed

Sunday

Closed

San Antonio (Alamo Heights) Hours

Monday
8:00 am - 12:00 pm 1:00 pm - 5:00 pm
Tuesday
8:00 am - 12:00 pm 1:00 pm - 5:00 pm
Wednesday
8:00 am - 12:00 pm 1:00 pm - 5:00 pm
Thursday
8:00 am - 12:00 pm 1:00 pm - 5:00 pm
Friday
8:00 am - 12:00 pm 1:00 pm - 5:00 pm
Saturday
Closed
Sunday
Closed

Floresville Hours

Monday
Closed
Tuesday
Closed
Wednesday
Closed
Thursday
9:00 am - 2:00 pm
Friday
Closed
Saturday
Closed
Sunday
Closed