Thank you for using our secure online form. Please fill out as much information as you can. Once you have completed this comprehensive form, you will only need to report changes for future visits. When you are finished, be sure to print a copy for your records before selecting the submit button at the bottom of the form. If you have any questions, please call RedWood Eye Clinic at (425) 483-8000, or Bothell VIsion Center at (425) 486-2121. We can always change the data in the office if you are unsure about what to enter in any of the fields.