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New Patients

Joining our patient community? Please click here and complete the form before your first office visit. You may either fill out this form online or print it out and bring your completed copy to the office at the time of your appointment.

This will save you time and make the office administration process easier. If you are filling out the information online, please remember to double check the information before submitting.

Existing Patients

If you have moved or any of your patient information has changed please contact our office at 360-573-3937 and We will generate a pass code allowing you to verify and update your patient information.


If you have any question or need help with this form, please call us at 360-573-Eyes(3937).