Health Safety Notification

Due to COVID-19 and per CDC guidelines, we are seeing patients on a modified schedule. Patients are required to wear a mask or face covering while in clinic. Unfortunately due to the PPE shortage, EANW cannot provide masks to patients. Upon arrival to the clinic, you will be asked if you have experienced a fever, cough, shortness of breath, sore throat, and/or sudden loss of taste or smell within the past 14 days. We will also take your temperature. All visitors will be asked to wait in the car, unless they are needed for the appointment (caregiver, interpreter, etc.).

Patient Forms

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:

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