Please complete the necessary forms before your appointment. We have 3 forms to complete before your exam.
Please click the links below to download and fill out the forms before your exam. Thank you!

Patient Forms

New Patient Forms

New Patient Form

Other Forms:

You can print these and bring to your appointment or fill them out here at the clinic.

Patient Release Records (PDF)

Patient Financial Information Sheet (PDF)

Contact Lens Authorization Form (PDF)

Privacy Policies (PDF)

Lifestyle Index - English (PDF)

Lifestyle Index - Spanish (PDF)


Please bring your health & vision Insurance cards if you have them to your appointment. This will help ensure we have the right information to bill your insurance. If possible, you can also call your insurance to check your benefits & eligibility before your appointment.

Payment Options

  • Cash
  • Check
  • Visa
  • MasterCard
  • Discover
  • American Express
  • CareCredit


Advanced Vision happily accepts your medical & vision insurance plans and offers same day discount for patients with no vision insurance. Feel free to call us (360) 526-0075 to find out about your specific insurance.

Any balance not paid by your insurance carrier will be your responsibility from the date the services are rendered unless other arrangements have been made.

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