Accessibility View Close toolbar

Forms

What Forms Do I Download?

We try our best to save paper and time. Please support us in this endeavor and complete as much paperwork online as possible.

After you have scheduled an appointment, please click on the "Personal Information" link and follow the directions for a new patient.

If you are a returning patient, we will provide you with a pass-code to update your existing information.

Please remember to fill out both tabs: DEMOGRAPHICS and MEDICAL HISTORY, before you click "submit".

If you need records sent to us, please print the "Records Release", fill it out and fax it to your previous or referring doctor.

All patients must consent to our privacy practices. You will be asked to sign a consent form when you arrive for your child's appointment. In order to review our privacy practices, please click on the "Statement of Privacy Practices - HIPAA" link. There is no need to print this.


Online Forms:

Personal Information

Secure Patient Portal:

click here

Printable Forms:

Records Release

Statement of Privacy Practices - HIPAA

Teacher Observation Checklist


Download the Free AdobeReader®

Location

Find us on the map

Hours of Operation

Our Regular Schedule

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-5:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

9:00 am-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews From Our Satisfied Patients

  • "I can’t say enough great things about Elemental Eyecare. Dr. Gabby was so amazing with our special needs daughter. Highly recommend!!"
    Brittaney O.
  • "Both of my kids loved Dr Gabby. They have been seeing another doctor for over 12 years, but the transition to Elemental Eyecare was super easy. My son had a sudden change in his vision and they got us in within days. We are so happy we do not have to drive to Eugene anymore to see a pediatric specialist."
    Meredith S.
  • "My six year old recently had an appointment with Dr. Marshall! She was amazing and so great with children! The office was really nice and very clean and there were toys and stuff for my toddler to do while we wait! Overall great experience and wonderful staff!"
    Samantha G.