Info & Forms

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will help us ensure that we are able to see all of our patients in a timely manner. If you have any questions when filling out these forms, please do the best you can and our staff will assist you on the day of your visit.

New Patient Registration

Medical History

Medical Records Release

Amsler Grid 

Payment:
We accept the following forms of payment for services:

  • Cash
  • Checks
  • American Express, Discover, Visa & Master Card
  • Insurance billing

© 2018 Seattle Ophthalmology