Provider Resources

Below are a list of forms to use when referring a patient to our clinics.  Whenever possible, we ask that these forms be completed and sent to the clinic as soon as possible prior to the patient being seen.  Be sure to describe in as much detail as possible including the location of any defects seen.      Thank you!

• Referral Document - To be completed by the referring provider.

• Authorization for Release of Healthcare Information TO Oregon Trail Eye Center form

• Authorization for Release of Healthcare Information FROM Oregon Trail Eye Center form

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