clinic forms

Click here to download the attached Patient History Form. Please fill in your responses, save as a PDF and email to appointment@cityworks.com to save some time prior to your appointment.

Click here to download the attached Constent Form. Please read and initial/sign and date. Save your response as a PDF and email to appointment@cityeyeworks.com.

Click here to download our Notice of Privacy Practices.

















5101 25th Avenue NE, Suite 10 | Seattle, Washington | 98105 | 206-432-9051