• Address:
  • 921 SW 16th Ave, Portland, OR 97205
  • Hours of Operation:
  • Monday through Friday 8am to 6pm
  • Phone Number: 503-227-0573

PATIENT FORMS @ EYE DEPARTMENT

Congratulations, you’ve made an excellent decision. Dr. Annie and the team at Eye Department are excited to see you. Below you will find New Patient Paperwork, Medical Records Release Forms and General Office Guidelines to ensure an amazing experience. Please download, print and complete the New Patient Paperwork and bring it with you prior to your scheduled time. Please do not submit completed paperwork via email. Eye Department has enabled a secure Patient Health Record portal where patients may access their medical records, send messages to Dr. Annie, download current prescriptions and review previous orders. The Eye Department Patient Health Record portal is only available for established patients who have seen Dr. Annie at Eye Department. Instructions on accessing the PHR portal can be found below.

New Patient Paperwork 2017

If you have medical records, chart notes or exam results from a different provider, please download the Medical Records Release form.

Eye Department Medical Records Release

For those interested in the terms and conditions for use of this website, please go here.

 

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