Forms
Patient Forms
- In Preparation for Your Visit (Bring insurance card, picture ID, and payment if doing a Co-pay)
- Notice of Privacy Practices (Please Read)
- Patient Financial Responsibilities (Please Read)
- Medical Records Release Form
- Good Faith Estimate
New Patients
Retina Surgery Center
After scheduling surgery, you will receive a text message and/or email asking you to complete our pre-assessment survey through Patient Engagement online system. Please complete the survey before your surgery date.
