Eye Associates Northwest Kirkland, Washington Office

These forms are provided for the convenience of new or established patients who have scheduled appointments.

If you are a new patient, or haven’t been seen at Eye Associates Northwest for two years or more, please read the below and fill out the forms to bring with you:

Click on the links to download or view the forms. Note: These files are in PDF format. If you do not have a current version of Adobe® Reader® on your computer, you can download it for free here.


If you need to request the release of your medical record please login to your patient portal at nextmd.com, or complete the form below and return: