Roosevelt Vision | Seattle WA eyewear and vision care

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Office Forms

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Office Forms

Prior to your visit to our office, please fill out the appropriate forms below. Click on the links below to download the PDF. Please contact us if you have any questions.

New Patient Packet (all forms in one PDF download)

Patient Registration Form

Patient History and Information Form

Contact Lens Services Explanation

Notice Of Privacy Practices (please keep a copy for your records, sign the second page and bring it to your appointment)

Authorization to Release Medical Records

Ask our team to help you pick the right frames for you.

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Take a look at our variety of contact lenses that you can now reorder online!

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