Patient Information

New Patient Forms

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time you will save significant time at the time of your visit. If you have any questions when filling out these forms, please do the best you can, our staff will assist you with your questions on the day of your visit.

Please printout and complete the appropriate forms:

Adobe Readernote: The above documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.


How long is an appointment?

The length of time for an eye exam depends on many factors, first and foremost is the complexity of your case.  New patient exams always take longer than those of established patients, so if you are new to us, be prepared to take some extra time for  paperwork. It takes extra time to perform refraction and dilation. So if you need these services be prepared for an appointment that make take up to an hour and a half.  We  are a medical practice and our physicians mus t see unscheduled emergencies. We will do our best to get it your exam in a reasonable amount of time but will not compromise the quality of your care to do so.  It is generally a good idea, not to schedule another appointment

Do you take my insurance? 

We accept most but not every insurance plan.  You should contact your carrier to check your benefits.  We can bill your insurance for you, but this does not necessarily mean that they will cover any of your services.  Please remember that many carriers have a deductible limit for which the patient is responsible.  Ultimately, the patient is responsible for the payment of their services. 

What is a “Refraction”?

A refraction is a clinical test that is frequently done in addition to your eye exam.  A refraction is necessary, if you want the doctor to tell you if you need glasses or if you need a change in your eyeglass prescription.  During this process, a trained technician measures the power of the lens necessary to provide you the sharpest, clearest vision.  Insurance plans do not always provide a benefit for this service.

Will I have to de dilated? 

Maybe.  If you have diabetes, macular degeneration, floaters or other diseases of the retina you should be prepared for a dilated exam. If the physician finds  something on your eye exam they may recommend dilation at the time of your visit.

Why do you need a list of my medications?

Documenting patient medications is an essential part of any medical exam.  There are also some medications which can affect the eyes and vision.  It is important for the doctor to know everything there is to know about you.  

Why do I need to bring my glasses or contacts?

Because we said so.

Do I need a screening photo of my retina? 

Digital photos provide a permanent image of your retina.  It is useful to have this available to look back at as a comparison.


Dr. Gunshefski performed cataract surgery on my wife and Dr. Edwards removed my cataracts. I cannot say enough good things about them. The patient service was excellent and I would be very happy to recommend these doctors to anyone considering eye surgery. Thank God we have doctors in Walla Walla that put patient comfort ahead of anything else.
- F. Besenhofer
Patients Portal