Printable Forms

The documents listed below can be printed for you to fill out at your leisure in order to be sure all your information is accurate and complete.

Please do not forget to bring your forms with you to your appointment and any other pertinent information i.e. x-rays, lab work, or office notes from referring physicians.

 

Please complete the forms in black ink!

The following documents are strictly for informative purposes and can be printed and kept for your files:

Release of Healthcare Information

Individuals who have been a patient at Oregon Trail Eye Center, P.C. have the right to access or receive copies of their medical records. Authorization for Release of Health Care Information forms can be obtained at the front desk Monday through Friday, 8:00am – 5:00pm or you may print them, fill them out, and fax to (308) 635-3130 or return to our office either by mail or

in-person:

               

Individuals who have an upcoming appointment at Rocky Mountain Eye Center and have records from other clinics which need to be sent to us can download that form HERE.

Oregon Trail Eye Center P.C.

329 West 40th Street   

Scottsbluff, NE 69361

OFFICE HOURS:

Monday                   

Tuesday                    

Wednesday

Thursday

Friday

Saturday
Sunday

8:00 am - 5:00 pm

8:00 am - 5:00 pm

8:00 am - 5:00 pm

8:00 am - 5:00 pm

8:00 am - 5:00 pm

Closed

Closed

Oregon Trail Eye Center