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Patient Center

Welcome to our Online Patient Center! Here you can get information about what to expect during your visit with Dr. Moy and Dr. Oda as well as important forms you can complete before your appointment to save time.

Online New Patient Forms

We’re excited to see you. You can spend less time on paperwork in our office by conveniently filling out our forms ahead of time! Click the New Patient Registration button to open our secure form in a separate window. Complete all pages and remember to hit SUBMIT when you’re done. All of your information will be securely transmitted to our electronic health records system.

Paper Patient Forms

Do you prefer paper forms? No problem! Print and fill out the forms below and bring to your appointment.


Download PDF

Medical History

Download PDF

Retinal Imaging

Download PDF

Payment Options

Newcastle Vision Clinic believes in providing the best value for you and your family. We have products and pricing that aims to accommodate all budgets and our office participates in most insurance programs. For patients who have little or no vision insurance coverage, flexible payment programs may be arranged. To learn more about our payment options, please call our office directly.

Our office accepts cash, check, and major debit and credit cards including MasterCard,Visa, and Discover.

Don’t forget to use your:

  • Flexible Spending Plans

  • Health Savings Accounts (HSA)

  • Medical Savings Accounts (MSA)

  • Cafeteria Plans for most of your eye care needs


Since there are so many plans and coverage varies widely, please call us to find out if your plan covers care in our office. Our staff will verify and explain your benefits before your visit at no charge.


  • Vision Service Plan (VSP)

  • MetLife

  • Guardian

  • Premera

  • Cigna

  • First Choice

  • Regence

  • Medicare

  • HMA

  • Trusteed Plans Service Corp (TPSC)

  • Benefit Administrative Systems (BAS)

  • WPAS

  • Zenith American Solutions (Seattle Area Plumbing)

  • HealthComp

  • Labor and Industries (L&I)

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