(208) 882-3434

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.

Optical Warranty

Information about what you can expect when you buy glasses from Moscow Family Eye Care.

Medical Records Release

Allows us to request your records from another healthcare provider.

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.

Moscow Family Eye Care

(208) 882-3434

1205 E. 6th St.
Moscow, ID 83843