Complete forms 1 & 2 prior to your initial visit or if changes.  Please read policy #3.

1 – Patient History & Information – Form

1a – Financial Policy Form

1b – Acknowledgment of Privacy Practices

2 – Authorization for Representative

3 – Notice of Privacy Practices – Policy

To acquire your medical records from another doctor

4 – Patient Information release – Form

Cataract Surgery Forms and Information

5 – Determine your need for cataract Surgery – Form

6 – Patient activity questionnaire for cataracts – Form

7 – Cataract Surgery Informational Packet

8- VF-8R Cataract Patient Questionnaire