Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to meeting you.
New Patient Registration Form
Additional Forms Available for Download:
Pre-Operative History & Physical Forms
Pre-Operative Instruction Sheet
Post-Operative Instruction Sheet
Blepharoplasty and Brow Repair
Ectropion (eyelid turning out)
Entropion (eyelid turning in)
Tear Duct Blockage
Thyroid Related Eye Disease
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.
Dr. Becker exceeds above and beyond! A 5 star doctor I would recommend to family and friends, because he truly is a specialist in ophthalmology and in cosmetic surgery. I learned that he teaches one day out of the week to residents at UCLA, which explains why he is so patient and didn't mind explaining the procedure with me. I was quite nervous but he really calmed my nerves about Juvederm, because I was afraid to not look natural after the injections. I have to say I LOVE MY RESULTS! my parentheses lines along the sides of my nose and mouth where so defined but now I feel like I'm in my early 20's again :) He has become my to go doctor to help retain my youth appearance.
I had a very serious injury to the left side of my face an I never thought I would ever look the same again. Dr. Becker fixed everything almost like nothing happen. He is very good at what he does. Very kind an truly cares about his patients. He definitely has a gift from God. An I'm so grateful I was referred to him an so very thankful for all that he is an all that he did for me.
Site Developed by ProSites.com