Forms and Instruction Sheets

For your convenience, we have made a number of our forms available for patients to download for your reference, or to print and fill out before coming to your appointment.  New and active patients can download the forms provided below:

• New Patient Demographics
• Medical History Form
• HIPAA Form
• Authorization to Treat Form
• Records Release Form
• Financial Statement and Refraction Services

The following are helpful instruction sheets for your reference:

• Pre Op Cataract Surgery Instructions (Standard Drops)
• Pre Op Cataract Surgery Instructions - Right Eye (3:1 Easy Cataract Drops)
• Pre Op Cataract Surgery Instructions - Left Eye (3:1 Easy Cataract Drops)
• Post Op Cataract Instructions
• 3:1 Easy Cataract Drop Information
• Macular Degeneration Eye Vitamin/Supplement Instruction Sheet
• Amsler Grid