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Online Forms

Online Forms

Texas State Optical Portland Online Forms

At Texas State Optical Portland, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s) and fill in the required information.

  • Fax or email us your completed form(s) or bring them with you to your appointment.

PDF File
Lifestyle Symptoms Survey
PDF File
Medical History Form
PDF File
Advance Beneficiary Notice
PDF File
Acknowledgement of Privacy Practices
PDF File
VS Patient Consent Form
PDF File
Spectera Patient Consent Form
PDF File
Contact Lens Acknowledgment
Helpful Articles
Eyecare Services
All Eyecare Services

We offer a wide variety of eye care services to the Portland community. Contact us with any questions about our services.

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For non-urgent questions or to learn more about our services, contact us today!