Surgical Services

Patient Forms

We recommend filling out these forms before your appointment. Otherwise, plan to arrive 20 minutes before your appointment in order to have time to fill them out in our office. Please contact us with any questions about the information we are requesting.

Patient Forms (273 KB)

Routine VSP Exam vs. Medical Exam Consent (103 KB)

Release of Records from Another Doctor (83 KB)

Financial Information

Siskiyou Eye Center is a provider for Medicare as well as other medical insurance carriers and the VSP vision plan. Our billing department is available to answer any of your questions in this area.

Our billing department will be happy to work out a payment plan for those wishing to extend their payments over a period of time because of financial hardship.

Please call the Billing Department to make arrangements:

Ashland (541) 482-8100