© 2018 Eastside Eye Consultants

9 Lake Bellevue Drive, Suite 105 Bellevue, WA 98005

Tel: 425-562-6135

Patient Forms

Patient Forms:

For your convenience, you can download forms and fill them out to bring to your scheduled appointment.

For new patients and patients who haven't been seen in more than 3 years,

please fill out Patient Registration Forms (3 pages).

Please refer to Notice of Privacy Practices.

If you are requesting our office to release your medical records, please fill out

the Medical Records Release Form and fax it to 425-562-9085.