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For your convenience, below are forms that you will need to complete and bring with you to your consultation.

Simply click on the forms, print them out and fill them out completely and bring them with you on the day of your consultation. If you have any questions, please feel free to call 1-866-527-3722.


LASIK Consultation Forms:

Patient Data Sheet Form - LASIK Consultation
Patient History Form - LASIK Consultation



General Ophthalmology Forms:

Patient Data Sheet Form - General Ophthalmology
Health History Form - General Ophthalmology

   

"Great doctor, great environment, and great staff! Sometimes you just want a doctor to explain things in plain terms. I got exactly that with Dr. Spetalnick and was very satisfied with my visit. I am telling all of my friends, family, and co-workers!"

-Dale


 

 
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