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Simulated Clinic Website: cascadeeyeretina.com

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https://www.cascadeeyeretina.com/patient-forms-and-intake

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Cascade Eye & Retina Specialists

Ophthalmology & Ambulatory Surgery Center • Bellevue, WA • Accepting Medicare & Medicaid

Download Required Patient Registration & Medicare Forms

Please download and complete these PDF forms prior to your appointment at Cascade Eye & Retina Specialists:

Comprehensive Ophthalmology & Medicare Part B Intake

File: Cataract_Retina_Patient_Packet.pdf

📄 Download Patient Form (Cataract_Retina_Patient_Packet.pdf)

HIPAA Privacy Notice & Dilated Fundus Exam Consent

File: Dilated_Exam_HIPAA_Release.pdf

📄 Download Patient Form (Dilated_Exam_HIPAA_Release.pdf)

Medicare vs. Commercial IOL Lens Coverage Comparison Table

File: Vision_Insurance_Fee_Schedule.pdf

📄 Download Patient Form (Vision_Insurance_Fee_Schedule.pdf)