Canyon View Family Eye Care

Dr. Karl Czirr

  • 4309 W 27th Place Ste. B102, Kennewick, WA 99338
  • | 509-737-2010

Patient Forms

Patient Forms

Please save time and help us be green by submitting your patient registration and history information through our secure online forms. If you prefer, you may download and print the patient forms to fill out at home and bring to your appointment.

Register Online

Download Forms

Our Privacy Practices

Please come to your appointment with:

    • All glasses that you currently use
    • Your insurance cards and a photo ID
    • A list of any medications (including over-the-counter drugs), vitamins and supplements that you take

    CL Wearers: Please come in wearing your contact lenses so their fit can be assessed.  If you are experiencing significant discomfort, redness, discharge or abnormally blurred vision, do NOT wear your contacts but bring them to your appointment.  New patients should bring a copy of your current contact lens Rx, your CL boxes or the prescribing doctor’s contact information.  A refitting will be necessary if we cannot verify your prescription.

    Previous Medical Records are generally not needed.  However, if you have been treated or monitored for an ocular condition, bring contact information for your previous doctor.

    Call our office at (509) 737-2010 if you have any questions. Thank you for choosing CanyonView Eye Care for your eye care needs. We look forward to seeing you soon!