Patient Forms

Please read the following patient information before your visit to the Eye Surgery Center:

• Privacy Practices, Patient Rights & Responsibilities
• Advance Directive Policy
• Understanding Your Rights

Please print and complete this form:

• Your Medication Record

For your convenience:

• All forms in one document

We are proud to offer a relaxed, patient-focused environment, state-of-the-art equipment, convenient access, ample parking, and an experienced staff to meet your needs. If you have questions regarding our center, please call us at 808-356-4300.