Patient Forms

All new patients are required to fill out several forms for our records. For your convenience, you may download the following forms and fill them out prior to your visit to save time in the waiting room.

• Patient Information Sheet
• Patient History
• HIPPA Acknowledgement
• Assignment of Benefits

Patients considering surgery may download the appropriate consent forms listed below (These will be provided to you in the office as well):

• Cataract Surgery & Refractive Lens Exchange
• Laser Vision Correction (LASIK/PRK)
• Mitomycin C (MMC)(Used in some laser vision correction procedures)