Forms & Instructions

For New Patients:

Click on each PDF file.  Print out each form, complete, and bring them with you to your appointment.

Registration Form

HIPAA Privacy Form

Financial Policy Form

Allergy and Med List Sheet

Review of Symptoms

Medical Summary

Additionally, for a Cataract Evaluation, print:

Cataract Questionnaire

 

For a Records Release:

Records Release

 

For Post-op Instructions:

Cataract Post-Op Instructions

Post-Op Instructions (Non-Cataract)

 

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