Registration Forms
Fill out these forms prior to your appointment to save time
English
Patient Registration
Patient Medical History
Dilating Eye Drops Consent
Notice of Privacy Practices
Release of Records (Send from EACTX)
Release of Records (Send to EACTX)
Refraction Services
Medical Appt vs. Routine Eye Exam
No Show Policy
Medical Necessity for Cataract Surgery
Cataract Surgery Patient Questionnaire
Español
Patient Registration
Dilating Eye Drops Consent
Refraction Services
Medical Necessity for Cataract Surgery
Cataract Surgery Patient Questionnaire
Surgical Consent Forms
Read the consent form prior to your pre-operative appointment.
Cataract Surgery with Premium IOL
Eye Handouts
Click here to find information about your ocular disease
Meibomian Gland Disease/Blepharitis