Patient Information

If you are a new patient, please download and read/complete the following forms: Financial policy, Medical history, Medicare lifetime authorization (if you have Medicare), Notice of privacy practices, and Registration.

 

Bring the forms with you to your appointment, or you can call us to get an email address to send the forms to.

 

NONDISCRIMINATORY POLICY:

pdf-iconNondiscriminatory Policy

 

CLINIC PATIENT INFORMATION:

pdf-iconPatient Registration

pdf-iconPatient History

pdf-iconOffice Policies

pdf-iconNotice of Privacy

pdf-iconMedicare Lifetime Authorization

 

SURGERY PATIENT INFORMATION:

pdf-iconInformed Consent

pdf-iconCataract Surgery Patient Info

 

 EXTERNAL LINKS:

globewww.geteyesmart.org 

Good reliable patient education material that is reviewed by ophthalmologists and kept up to date.