Download Forms

The following forms are provided to assist us in processing your insurance, and giving us some insight regarding your past and present general health, and ocular health information. The first three forms should be printed, filled out, and brought with you to your first visit to Lake Stevens Vision Clinic, Inc.
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General Health History Form

Eye History Form

Lifetime Authorization Form

Request for Patient Records Release Form

LSVC Notice of Privacy Practices

LSVC General Privacy Policy