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.

We want your visit to be as stress-free as possible. Our staff will do everything we can to make sure your experience is pleasant and convenient. If you have any questions about these forms, please don’t hesitate to contact us.

What to Expect

When you visit our office, you will be warmly welcomed and we can answer any questions you may have about completing the paperwork so that Newcastle Vision Clinic may see you. Our team will work together to evaluate your eyes and provide relevant eye care treatment information, review your vision benefits and payment options, fit you for glasses or contact lenses, and focus on exceeding all of your expectations. If at any time you have questions about the process or your specific health information, please ask.

  • Monday
  • Closed
  • Tuesday
  • 9:00am - 5:30pm
  • Wednesday
  • 9:00am - 5:30pm
  • Thursday
  • 9:00am - 5:30pm
  • Friday
  • 8:30am - 5:00pm
  • Saturday
  • 8:00am - 1:00pm
  • Sunday
  • Closed

425-659-2020

  • 13399 Newcastle Commons Drive
  • Newcastle, WA
  • 98059

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.

Registration

Medical History

HIPAA

Retinal Imaging

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 and Visa, as well as Care Credit.

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

Insurance

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
  • United Healthcare
  • 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)

Care Credit

The Care Credit card is available to help people pay for health care expenses, often with an introductory period that is interest-free. We accept Care Credit for all of our services. To learn more or apply for the card, visit Care Credit here.

All of the above plans can be used for all your eye care and eyewear needs, including eyeglasses, contact lenses, routine office visits and medical office visits.

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Our Office

  • 13399 Newcastle Commons Drive
  • Newcastle, WA
  • 98059
425-659-2020
Contact Page 
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Office Hours

  • Monday
  • Closed
  • Tuesday
  • 9:00am - 5:30pm
  • Wednesday
  • 9:00am - 5:30pm
  • Thursday
  • 9:00am - 5:30pm
  • Friday
  • 8:30am - 5:00pm
  • Saturday
  • 8:00am - 1:00pm
  • Sunday
  • Closed