• Lake Oswego: (503) 639-EYES(3937)
  • Tillamook: (503) 842-4202
Eyes of Oregon Forms

Basic Forms

Fill out these forms before your first appointment.

What To Expect
Download: Both Offices
Patient Registration
Patient Registration – Download: Lake Oswego | Tillamook
Patient History – Download: Both Offices
Current Medications – Download: Both Offices
HIPAA Privacy Policy – Download: Lake Oswego | Tillamook

Additional Forms

Only fill out these forms if instructed by Eyes of Oregon staff.

Optomap Retinal Exam
Download: Lake Oswego
Your Rights and Medical Disclosure
Authorization to Release Healthcare Information