Forms

Patient Rights Forms

Please click the links below to download the forms.

Patient Information and Insurance

HIPPA Forms

Please click the links below to download the forms.

HIPAA Notice of Privacy Practices

Billing &
Insurance Forms

Please click the links below to download the forms.

Billing Form 01

Billing Form 02

Other Forms

Please click the links below to download the forms.

Other Form 01

Other Form 02

Privacy

Cascade Eye Associates

10001 SE Sunnyside Road, Suite 100 Clackamas, Oregon 97015

Phone: 503-652-0600

Fax: 503-652-0601

Toll Free: 888-330-4393

For each visitor to our Web page, our Web server automatically recognizes only the consumer's domain name, but not the e-mail address. We collect only the domain name, but not the e-mail address of visitors to our web page and information volunteered by the consumer, such as survey information and/or site registrations.

The information we collect is used by us to contact consumers for marketing purposes and not shared with other organizations for commercial purposes. If you do not want to receive e-mail from us in the future, please let us know by sending e-mail to us at the above address or calling us at the above telephone number or writing to us at the above address and telling us that you do not want to receive e-mail from our agency.

If you supply us with your postal address on-line you will only receive the information for which you provided us your address. If you do not want to receive information from us in the future, please let us know by sending e-mail to us at the above address or calling us at the above telephone number or writing to us at the above address and telling us that you do not want to receive mail from our agency.

Persons who supply us with their telephone numbers on-line may receive telephone contact from us with information regarding new products and services or upcoming events. If you do not wish to receive such telephone calls, please let us know by sending an email to us or calling us at the above telephone number or writing to us at the above address.