Online Forms

At Puget Sound Eye Care, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReaderĀ® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Forms


Patient History & Medical Questionnaire

Payment Policy

Acknowlegement of Receipt of HIPPA

Notice of Privacy Practice

Notice of Privacy Practice

Consent Forms

Treat a Minor

Release of Medical Records

Download the Free AdobeReaderĀ®