FORMS
Below are a few of the forms you may be asked to fill out when you
make an appointment or schedule a procedure. You can download, print
out the form, fill it out, and bring it with you to save time.
Patient
Information
Health History
Financial
Policy
Informed Consent Forms:
LASIK
PRK
Refractive Surgery
Refractive
Lens Exchange
Phakic
Refractive Lens
HIPAA
Patient Acknowledgement
HIPAA
Privacy Notice - Summary
(updated 01-08)
HIPAA
Privacy Notice - Detailed
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Have questions about
any of the forms?

Give us a call!
541-687-2110
You'll need Adobe Acrobat to open the forms listed to the left.
You can download the program by clicking the button
below.

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