Patient Info & Forms

Cannon EyeCare is in network with Premera, Regence, HMA, Lifewise, Uniform Medical, Blue Cross/Blue Shield and Kaiser Permanente’s Access, Options, and Omni PPO plans. Your vision insurance carrier may be different than your medical insurance carrier. We do not accept independent vision plans such as VSP, Eyemed, Davis Vision, or Spectera due to unreasonable contractual requirements. Additionally, please note that we accept Medicare and Medicare Advantage plans. However, it's important to mention that while we can typically bill traditional Medicare plans, we usually cannot bill a Medicare Advantage HMO plan.

In order to help you prepare for your appointment, please read the documents below. Please print & complete our patient intake form and bring it to your appointment. Otherwise please arrive 15 minutes prior to your appointment time to fill out the paperwork in office.

• Patient Intake: Pike Place (Downtown)
• Patient Intake: University Village
• HIPAA Privacy Policy
• No Show Policy

If you need to request a copy of your medical records to be sent to (or from) us, please complete the Medical Information Release Form and return it to the doctor’s office.