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These forms are not specific to a specialty of practice, and are easily customizable to use in your office.
Collection of forms specific to the optometric practice.
Handout for LASIK surgery patients explaining what they can expect on surgery day.
Patient education handout with a customized page for each level of risk determined by Macugene testing.
A concise form asking questions about the patient's and patient's family medical history, including social history, PCP and pharmacy information.
Guidelines for minimum follow-ups on all of the eye surgeries that we comanage, with an explanation on different levels of diabetic retinopathy.
Sheet detailing the opening duties of the technical staff.
A compact yet comprehensive list of ICD-10 eye care codes categorized by pathology and anatomy.
Card used to gain valuable information about a new patient before their eye exam appointment.
Prescription with places for the commonly recommended OTC medications from our office.
Our mission statement is not just a formality of business, it is our business.
Orientation packet handout covering the protocol for handling phone calls requesting a LASIK consultation.
Form for patients to fill out letting us know how they would grade us and our service.