***NEW COMPUTER SYSTEM***

We will be using our new computer system starting Monday, March 8th. Please be patient as there may be slight delays in your check-in and check-out process.

Our new electronic medical records system will help ensure you receive the best patient care.  THANKS!

Thursday, March 11, 2010
Text Size
   

Our Specialties

Cataract Surgery
     Overview of cataracts
     Tecnis Premium IOL
     Restor Premium IOL
     Crystalens HD Lens

Retina Services

A team of retina specialists More...

Corneal Transplant Services
World class doctor specialing in transplants More...

Glaucoma Services
Prevent vision loss More...

Diabetic Services
Diabetics have special vision needs More...

Laser Eye Surgery
See Clearly Without The Need For Glasses More...

Macular Degeneration Services
A team of surgical specialists to More...

Oculoplastic/Cosmetic Services
Cosmetic and reconstructive surgery More...

 

Select your language below:

Registration Forms PDF  | Print |  E-mail

Speed Up Your Check-In Process

 

Don't like to fill out forms at your doctor's office?  Why not fill them out in the comfort of your own home or office with all of the information you will need at your fingertips!

Simply complete each of the following steps:

  • Patient Registration - Click on the link below to fill out your form.  Please bring it with you when you visit.

Patient Registration Form

  • Patient Medical History - Click on the link below to fill out your form.  Please bring it with you when you visit.

Patient Medical History Form

  • Assignment Of Benefits - Click on the link below to fill out your form.  Please bring it with you when you visit.

Assignment Of Benefits Form

  • Notice Of Privacy Practices - Click on the link below.  Please read the form carefully.

Notice Of Privacy Practices Form