Patient Forms
Access our patient forms that you can fill out before your next visit to Coos Bay Vision Center in Coos Bay.
Our Forms
- Welcome Letter [PDF]
- Patient Information Form [PDF]
- HIPPA Notice [PDF]
- Records Release for Primary Care Physician [PDF]
- Records Release for Previous Eyecare Provider [PDF]
- Contact Lens Letter [PDF]
- Notice of Privacy Practice [PDF]
- Notice of Nondiscrimination [PDF]
- The Right To Receive Communication Assistance [PDF]