Thank you for choosing to Lifestyle Eye Center!
It is pleasure to work with you and your doctor/s to provide the best specialty eye care.

At this point you should have an appointment scheduled with our office, and we are working with your doctors to get the proper records to prepare to care for you. Below you will find the information and paperwork we need from you before your first appointment.

Please feel free to call our office with any questions!

New Patient Paperwork

New Patient Paperwork is the most important element of your visit. It is crucial that we have information about your medical background and your eye health. We also have policy’s that we must agree on together in order to protect your information.

You may use our Patient Portal to fill out Patient Medical History. The Financial Policy and Privacy Policy must be signed and returned to our office prior to your first appointment. If you prefer to fill out this paperwork by hand, feel free to use these links to view and print.

Financial Policy
Privacy Notice
Patient Registration
Health History Questionnaire

Additional Paperwork

We may need to request additional medical records from your other doctors. If so, you will need to fill out a form that authorizes us to request records from other clinics. We have provided the Records Release Authorization form below for your convenience.

Record Release Authorization

Planning Your Visit

It is our privilege to work with you and your doctor/s to provide the best specialty eye care. Thank you for taking the time to read the following information about how our office works.

Non Discrimination and Languages: Lifestyle Eye Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. If you speak one of the 15 most common languages in the State of Washington, language assistance services, free of charge, are available to you. Please call our office to make arrangements.

Making Appointments: To schedule an appointment please call our office during office hours and we will work with you to find an appointment time that meets your needs. If you are a new patient we will have additional questions that will help prepare our medical staff for your visit. Please give us at least 24 hours’ notice if you are unable to keep your scheduled appointment time and need to reschedule.

Urgent and emergency cases will be given prompt appointments to the best of our abilities.

In case of emergency please visit your nearest emergency room or call 9-1-1.

Telephones: Our telephones are answered during our office hours. Messages left after hours will be followed up with the following day. We thank you for your patience in the event that we must place you on hold. When on-call, our doctor is reachable in the case of an emergency situation – this line is not to be used for scheduling purposes.

Authorization for Medical Release: If our medical team needs additional medical information to help properly care for your eyes, we may need you to sign a medical release form that will authorize us to contact and request information from your previous or current medical providers. If you feel there are records that would be helpful for our medical team in preparing for your visit, please contact your provider and request that they be sent to us before your upcoming appointment date.

New Patient Paperwork: Our office needs to collect information about you as a patient in order to prepare for your visit. New patient paperwork includes information about your demographic, your medical history, a financial policy agreement and a privacy policy agreement. Please fill out and return this paperwork 2 days before your scheduled appointment. Having your information ahead of time is essential to providing the best care and service possible.

Our online Patient Portal allows you to fill out your demographic and medical history information ahead of time, through a secure platform. The Financial Policy and Privacy Notice agreements must be signed physically and turned into our office. If you would like to register for our Patient Portal, please provide an email address to our office and we will assist you in getting started.

On Arrival: Upon arrival for your appointment, please present your photo ID and insurance cards to our receptionists as you get checked in. To protect your privacy and identity we will require this at each appointment.

Late Arrivals: We appreciate your punctuality, since it allows us to spend the optimal amount of time with you, assuring we provide the best service possible. In the event that are you over 15 minutes late, we may need to reschedule.

Cancellation/Missed Appointment: We ask that you try to keep your scheduled appointment. This is important because missing an appointment can be threatening to your eye health. We take eye care seriously and will always provide a courtesy call to remind you of your appointment. If you must cancel please give us 24 hours’ notice. Please see our financial policy for possible charges for no-shows or last minute cancellations. If you are unable to contact us, please follow up as soon as possible – we want to make sure your eyes are properly cared for!

Wait Time: Our team strives to schedule appointment times appropriately in order to minimize wait time. We appreciate your understanding of unexpected circumstances causing longer wait times. In the event that we are running behind and you are unable to wait, we will gladly reschedule you. We apologize for any inconvenience this may cause you.

Eye Dilation: Dilation is routine in most of our new patient comprehensive exams and it is also done at other times, such as for annual exams or some certain cases as needed (if you are unsure if your follow-up exam will include dilation, feel free to ask us). It is essential that we do a thorough dilated exam in order to properly diagnose and treat. A medical assistant will use eye drops that will take 15-30 minutes to fully dilate your pupils, which will prepare your eyes for the doctor to do a complete exam. Dilation can cause blurred vision and light sensitivity, lasting 2-6 hours. For your safety, we recommend arranging transportation so someone else can drive you home after your visit.

Additional Tests: During you examination we may need to perform additional testing depending on your diagnosis. Most testing causes little to no pain or discomfort, and are performed in our office. In some cases our doctor may need to send samples to other labs for further analysis, or request that you return for routine testing and follow-up.

Medication Refills: Please request medication refills 3 days in advance in order for our medical team to assure your medication is refilled on time. Always call and request a refill before your medication is gone or has expired. When you call, please have the medication name ready along with the name of your preferred pharmacy. If you have been referred back to your regular eye doctor or physician, please contact their office for prescription refills.