Online Forms

Our patient forms are available online so they can be completed in the convenience of your own home or office! 

FORM REQUIRED FOR ROUTINE EYE EXAMS OR MEDICAL EXAMS: 

1.   Please complete this form AT LEAST 2 DAYS PRIOR  to your appointment to allow us to prepare for your visit and check your insurance coverage/eligibility. 

**NOTE FOR EXISTING PATIENTS: You will need a passcode to get into your existing paperwork, this will be provided in a text and/or separate email within 24 hours of booking your appointment. If you cannot find your passcode, text or call our office: 503-698-2375.

2. Privacy, Payment, and Optical Policy. There is no need to print this form, we will obtain your physical signature in office.

3. Contact Lens Exam and Purchase Policy. There is no need to print this form, we will obtain your physical signature in office. *Required only if completing a contact lens examination. 




OTHER FORMS: 

4. Consent to Treat a Minor Without a Parent Present.

5. Dilation/Optomap Consent.

6. Authorization to Release Medical Information From Another Provider to Our Office (Happy Valley Vision Source).

7. Authorization to Release Medical Information To Another Provider.

8. Tempsure Informed Consent

9. Tempsure Pre/Post Treatment Instructions


Testimonials

Reviews From Our Satisfied Patients

  • I have been seeing Dr. William Berk for the last 20 years and have always received top notch service. Highly recommend Dr. Bill and his wife Dr. Anne Berk.

    - July 26, 2022
  • dr. anne is the best! she is really caring, professional, and hilarious. not many can make an eye exam enjoyable, but she and her staff are successful! :)

    - June 9, 2020
  • Love Dr. Anne! She is fantastic and so helpful figuring out solutions for seeing well in all areas of life! Thank you! Also staff is friendly and caring and was super happy to have photos instead of dilation and no more air puffs for eye pressure! State of the art!

    - September 22, 2022
  • I have been going here for over 6 years. They are thorough and care sbout your eye health. They also have great service. I definitely recommend them.

    - January 14, 2023
  • Great people great service been coming to them for 30 years😍

    - October 27, 2022
  • Getting new frames is always a painless and pleasant experience here. The staff are professional and friendly.

    - August 27, 2022
  • This place is awesome. Everyone is so nice and you feel like you are getting the best deal. This is my new eye place. The best ever. Thank you all for treating me with professionalism.

    - January 15, 2023
  • Friendly staff, welcoming setting, professional opinions, and great prices! Dr Kimmi is the best! Can’t recommend this place highly enough!

    - January 26, 2023
  • I really love all the people at HV Vision Source! The doctors listen to any questions or concerns I have & never give up on helping me. Thanks so much❣️

    - January 28, 2023
  • My Happy Valley Vision Source appointment went well. Dr. Chan was very helpful and informative regarding my vision requirements. I recommend them if you need eye care.

    - May 19, 2023
  • This was my first time at this office. Everything from the booking experience to the exam to the final payment was great. Everyone was very professional. I'll definitely be back and recommend this place!

    - March 10, 2023
  • The doctor and staff were great. Very knowledgeable and willing to answer all my questions and help me select a new pair of glasses. Thank you for the great service.

    - March 18, 2023
  • I arrived early. Only waited about 5 minutes. I ❤️ Dr.Nguyen. She's like a breath of fresh air. She diagnosed my issue quickly and I'm on the road to recovery! Thank you!😊

    - July 5, 2023
  • Completed my eye exam within an hour and everyone there is nice. Probably the best office I have been to throughout my life having glasses.

    - May 11, 2023
  • Wonderful experience, and very helpful getting my vision back to perfect.

    - June 9, 2023
  • I had the best experience here! I would recommend Happy Valley Vision Source to anyone looking for a new place to have an eye exam. I love my glasses and contacts and the staff was amazing!

    - May 23, 2023

Hours of Operation

Due to appointment demand, you may be charged a minimum $39 fee if you cancel or miss your appointment without 24 hour notice.

Office Hours

Monday

9:00 am - 5:00 pm

Tuesday

9:00 am - 5:00 pm

Wednesday

9:00 am - 5:00 pm

Thursday

9:00 am - 5:00 pm

Friday

9:00 am - 5:00 pm

Saturday

9:00 am - 5:00 pm

Sunday

Closed

Office Hours

Monday
9:00 am - 5:00 pm
Tuesday
9:00 am - 5:00 pm
Wednesday
9:00 am - 5:00 pm
Thursday
9:00 am - 5:00 pm
Friday
9:00 am - 5:00 pm
Saturday
9:00 am - 5:00 pm
Sunday
Closed

Locations

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