pdf icon, patient forms Benjamin Eye

New Patient Form

Please print and fill out the New Patient Form prior to your appointment. It will help to expedite your visit with us.

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New Patient Form (for LASIK Consultations)

If you are coming in for a complimentary LASIK consultation, please use this New Patient Form.

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Medical Records Release Form

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LASIK Consent

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PRK Consent

Informed consent to be signed before PRK (Photorefractive Keratectomy) procedure.

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Cataract Informed Consent

Informed consent to be signed before cataract extraction and/or IOL implantation procedure.

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Pterygium Consent

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YAG Posterior Capsulotomy Consent

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