Doctor Portal
Necessary LASIK Forms for the OD and the OD’s LASIK Patients
Informed Consent for LASIK Patients (178 KB)
LASIK Post Op Form (23.97 KB)
LASIK Post Op Instructions for Patient (44 KB)
LASIK Pre-Op Report (30.67 KB)
Pre Procedure Report (30.67 KB) )
Warranty for LASIK patients (56.5 KB) )
Refractive Surgery Info to Co-managing ODs and Their Patients
Financing with Care Credit (75.5 KB)
LASIK – Cornea Flap Lift Consent (49 KB)
LASIK – Drop Schedule Post Op – English & Spanish (392 KB)
LASIK – Enhancement Informed Consent (89.5 KB)
LASIK – Informed Consent (90.5 KB)
LASIK – Letter to Co-Managing ODs (74.5 KB)
LASIK – Limited Lifetime Warranty (56.5 KB)
LASIK – Medical History Questionnaire (79.5 KB)
LASIK – Monovision Policies (66.5 KB)
LASIK – Post Procedure Report (23.97 KB)
LASIK – Postoperative Patient Management File (1.17 MB)
LASIK – Pregnancy and Nursing Disclosure (63 KB)
LASIK – Pre-Op Instructions (272 KB)
LASIK – Questions and Answers for Patients (41.18 KB)
LASIK – WaveScan and WavePrint System (76 KB)
LASIK Immediate Post Op Exam Report (27 KB)
LASIK Pre-Op Procedure Exam Report (30.67 KB)
PRK Drops – English (888.03 KB)
PRK Drops – Spanish (950.04 KB)
Refractive Patients Registration (61 KB)
LASIK Pre-Op Instructions (272 KB)
Near Vision after LASIK (57.5 KB)
PRK Enhancement Consent (84 KB)
PRK Informed Consent (90.5 KB)
Visian ICL vs Other Refractive Procedures (94.4 KB)
New Patient Info and Referral Information for ODs
HIPPA Form – Patient Acknowledgement for Signature (38.5 KB)
Lifestyle Vision Questionnaire (61.48 KB)
Map to Bellaire Clinic (430.04 KB)
Map to Clear Lake Clinic (437.25 KB)
Map to Katy Clinic (430.15 KB)
Map to Pasadena Clinic (436.55 KB)
Map to Sugar Land Clinic (434.79 KB)
Medical History Form – English (46.66 KB)
Medical History Form – Spanish (16.42 KB)
Referral Form for ODs New Patients to ECT (194 KB)
Welcome Letter (16.46 KB)
Disease of the Eyes – What’s It All About? – Patient Handouts
Adenoviral Eye Infection (249 KB)
Cataract, What Is It? (253.5 KB)
Cornea Transplant, What Is It? (267 KB)
Diabetic Patient and Eye Disease (245 KB)
Macular Degeneration Prevention Guide… Vitamins (1.19 MB)
Pterygium Photo (2.91 KB)
Retina Holes, Tears and Retina Detachment (254.5 KB)
Trabeculectomy, What Is It? (236.5 KB)
Vitamin and Mineral Supplements For Your Eyes (85 KB)
Yag Laser Capsulotomy – What Is It? (223 KB)
Yag Laser Peripheal Iridotomy or YAG (238.5 KB)
Cataract Forms and Documents – Note we have new drops as of May 2011
Cataract 1 Day Post Op (201.5 KB)
Cataract 1 Week Post Op Forms (210 KB)
Cataract Post Op Check List for OD (258.5 KB)
Cataract Post-Op Instructions (266 KB)
Cataract PreOp Sx Instructions (286.5 KB)
Custom Intraocular Lens Lifetime Warranty (81.93 KB)
General Follow Up Exam Form for Patient’s Chart (45.5 KB)
Informed Consent for Cataract Patient (275 KB)
NEW Cataract Drop Schedule Chart (30.19 KB)
Blepharoplasty Forms and Documents
Bleph – Disclosure and Informed Consent for Medical (216.5 KB)
Bleph Post Op Home Instructions (237 KB)
Lid Scrub Hygiene – English (269.5 KB)
Lid Scrub Hygiene – Spanish (250.5 KB)
Medical Necessity for Upper Bleph (37.5 KB)
Procedural Information
Minor Surgical Procedure Informed Consent (251.5 KB)
Obtaining a Medical History on Your Patient (30 KB)
PDT/Visudyne Procedure w/Wet orNeovasticular (282.5 KB)
Standard Treatment Protocols (281 KB)
Visual Assessment (29.5 KB)
Intacs Forms and Documents
Informed Consent for Intacs Surgery for Kerato-Eng (325 KB)
Informed Consent for Intacs Surgery for Kerato-Spa (324 KB)
Intacs Candidates – Are You One? (167 KB)
Intacs Post Operative Instructions (293.5 KB)
Intacs Pre Operative Instructions for the Intacs S (285.5 KB)
Intacts – CLEK Study Information Handout (524.48 KB)
Glaucoma Forms and Documents
Glaucoma Consultation Form (281 KB)
Glaucoma Patient’s Trabeculectomy Pre Op Orders (281 KB)
Glaucoma SLT Laser Information – Patient Handout (255 KB)
Informed Consent for SLT for Glaucoma – English (262.5 KB)
Informed Consent for SLT for Glaucoma – Spanish (284.5 KB)
Latisse and Botox Information
Botox Cosmetic Questions and Answers (44.5 KB)
Botox Injection Informed Consent (60 KB)
Latisse Evaluation Form (68.1 KB)
Latisse Patient Brochure (743.62 KB)
Love the Long Eyelashes Article – New York Times (92.62 KB)
Patient Guide – How to Use Latisse (85.5 KB)
