New Patient Paperwork
For your convenience you may fill out your new patient forms online.
Just click the button below:
If you need assistance, please call us at: 360-253-4405
Out of Network Note: Please note that if you do not see your insurance or vision plan listed and it is not included on our out of network list, please feel free to call us with your information so we can determine if we are still able to see you under your plan benefits.
*Vision Benefits Out of Network: If you are out of network, we are happy to still provide care to you or your family, however all services and materials provided are out of pocket. All receipts will be provided to you with the proper forms for you to submit them to your vision plan to receive reimbursement from them directly.
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Health Net of Oregon (Medical)
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EyeMed (Vision)*
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Spectera (Vision)*
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Davis or BlueView Vision (Vision)*
- Superior (Vision)*
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Open Hours:
Mon, Friday 8AM-5PM
Tuesday, Thursday 10AM-7PM
Wednesday 10AM-5PM