Downloadable patient forms that you can print and fill out before your next visit to Pacific Eye Clinic in Raymond and Ilwaco.
For your convenience, we have created the following pages to provide you with a list of the insurance carriers we accept at our Raymond and Ilwaco optometric offices, as well several downloadable forms to save you time at your next appointment.
Patient Intake Forms
- New Patient Form [Web]
- Printable Patient Form [PDF]
- HIPAA Form [PDF]
- Notice of Privacy Practices [PDF]
- Patient Lifestyle Form [PDF]