FORMS

Below are a few of the forms you may be asked to fill out when you make an appointment or schedule a procedure. You can download, print out the form, fill it out, and bring it with you to save time.

Patient Registration and Health History Forms
Please click here to enter our Patient Portal to complete or update your registration and health history forms in advance of your appointment, saving you time in our office.

Financial Policy

Special Insurance Information

Pre Operative Quality of Life Vision Questionnaire

Informed Consent Forms:

• LASIK
  
• PRK Refractive Surgery
  
• Refractive Lens Exchange
  
• Phakic Refractive Lens
  
• Dilation, Refraction & Contact Lens Evaluation

HIPAA Patient Acknowledgement

HIPAA Privacy Notice - Summary
(updated 01-08)

HIPAA Privacy Notice - Detailed