If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to expedite your check in more quickly than completing them on your arrival.
Thank you and please call our office if you have any questions at all.
The following forms are for all new patients
- Patient Demographics
- Patient History
- Medications and Allergies
- Refraction Service & Fee
- Privacy Notice
The following forms are for Cataract Evaluations and Medicare Patients
- Visual Functioning Questionnaire
- Medicare Information and Consent
- Vision Check List
MEREDYTH SURGERY CENTER
It is our desire to provide our patients with the best quality of care available during your surgical procedures at Meredyth Surgery Center. Please help us by completing the following survey and returning it to the front desk at Berg Eye Center.
-Patient Survey