alarm-ringing ambulance angle2 archive arrow-down arrow-left arrow-right arrow-up at-sign baby baby2 bag binoculars book-open book2 bookmark2 bubble calendar-check calendar-empty camera2 cart chart-growth check chevron-down chevron-left chevron-right chevron-up circle-minus circle city clapboard-play clipboard-empty clipboard-text clock clock2 cloud-download cloud-windy cloud clubs cog cross crown cube youtube diamond4 diamonds drop-crossed drop2 earth ellipsis envelope-open envelope exclamation eye-dropper eye facebook file-empty fire flag2 flare foursquare gift glasses google graph hammer-wrench heart-pulse heart home instagram joystick lamp layers lifebuoy link linkedin list lock magic-wand map-marker map medal-empty menu microscope minus moon mustache-glasses paper-plane paperclip papers pen pencil pie-chart pinterest plus-circle plus power pushpin question rain reading receipt recycle reminder sad shield-check smartphone smile soccer spades speed-medium spotlights star-empty star-half star store sun-glasses sun tag telephone thumbs-down thumbs-up tree tumblr twitter user users wheelchair write yelp youtube

Patient Forms

Please review all content below and fill out (if appropriate) before your next visit to Northwest Optometry.

Our Forms

  • Consent Form This form is required by our office to be updated annually by all patients.  This link will redirect you to an electronic signature page and will first prompt you to give us your name and phone number or email address to link you to your record.  If you cannot fill out this form in advance, please come to your appointment 5 minutes early to allow time to fill it out in the office.  
  • Contact Lens Rx Acknowledgment This form is only required for finalized contact lens prescriptions that need to be sent to a patient electronically.