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


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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