Patient Forms

Assignment of Benefits Financial Agreement and Consent to Treat

Download >

<img decoding="async" width="401" height="400" src="https://oceanophthalmology.com/wp-content/uploads/2022/06/HIPAA-Consent.png" alt="" srcset="https://oceanophthalmology.com/wp-content/uploads/2022/06/HIPAA-Consent.png 401w, https://oceanophthalmology.com/wp-content/uploads/2022/06/HIPAA-Consent-300x300.png 300w, https://oceanophthalmology.com/wp-content/uploads/2022/06/HIPAA-Consent-150x150.png 150w" sizes="(max-width: 401px) 100vw, 401px" class="et-waypoint et_pb_animation_top et_pb_animation_top_tablet et_pb_animation_top_phone wp-image-227466" />

Cancellation Policy

Download >

<img decoding="async" width="401" height="400" src="https://oceanophthalmology.com/wp-content/uploads/2022/06/HIPAA-Consent.png" alt="" srcset="https://oceanophthalmology.com/wp-content/uploads/2022/06/HIPAA-Consent.png 401w, https://oceanophthalmology.com/wp-content/uploads/2022/06/HIPAA-Consent-300x300.png 300w, https://oceanophthalmology.com/wp-content/uploads/2022/06/HIPAA-Consent-150x150.png 150w" sizes="(max-width: 401px) 100vw, 401px" class="et-waypoint et_pb_animation_top et_pb_animation_top_tablet et_pb_animation_top_phone wp-image-227466" />

HIPAA Acknowledgement and Consent Form

Download >

Medical History Form

Download >

Patient Registration Form

Download >

Pre-Surgical Questionnaire

Download >