Patient Forms

NEW PATIENT FORMS

• New Patient Form
• HIPAA (please read)
• HIPAA Consent (complete after reading HIPAA)
• Medical History

LASIK PATIENT FORMS

• LASIK New Patient Form
• HIPAA (please read)
• HIPAA Consent (complete after reading HIPAA)
• Lasik Medical History
• Lasik Consent (to be signed at the office)

OTHER FORMS

• Illinois Child Exam Form