Forms

Refractive Surgery Questionnaires

• Refractive surgery questionnaire 7-25-06
• Refractive Lens Exchange Questionaire 7-25-06

New Patient Forms

• New patient information sheet 10-12-09
• AECA PAYMENT POLICY - Assign Benefits - Refraction HIPPA 10-12-09
• HIPPA privacy policy document
  (please read but it is not necessary to print-out)

Established Patient Forms

• Established patient medical update and refraction policy

 

All forms are in Adobe PDF format
Use this link to download the Free Adobe Acrobat Software