Patient Forms
Save Time on Your Next Visit
Download these forms, fill them out and bring them to your first visit to save time, and breeze through registration even faster than normal.
Patient Information Form
Basic information about you, and your insurance provider.
Medical Records Release
Allows us to request your records from another healthcare provider.
Optical Warranty
Information about what you can expect when you buy glasses from Pullman Family Eye Care.
Medical Eye vs. Vision Exams
To help maximize the benefits you’re entitled to under any medical, or vision coverage you may have.
Privacy Practices (HIPAA) and Financial Responsibility Notice
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Pullman Family Eye Care
560 SE Bishop Blvd
Pullman, WA 91163
Phone: (509) 334-3300
Fax: (509) 334-7591