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-iconMedical History

pdf-iconMedicare Lifetime Authorization

pdf-iconRegistration

pdf-iconNotice of Privacy Practices

pdf-iconFinancial Policy

pdf-iconRelease of Information 10-30-13

 

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.