Patient Forms

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

  New Patient Forms    

Cataract Forms

  Cataract Forms

Additional Medicare Form

  Medicare Information & Consent



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