Patient Forms

Assignment of Benefits Financial Agreement and Consent to Treat

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<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

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<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

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Medical History Form

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Patient Registration Form

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Pre-Surgical Questionnaire

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