Adobe Acrobat Reader Required The documents in our library utilize a file format called PDF. In order to view these files, you will need to download a copy of Acrobat Reader from Adobe Systems' web site.
| Patient Forms | |
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Insurance Patient Letter Information about insurance co-pay and responsibilities. Includes contact information for payment arrangements. |
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Patient Health History Form Patient should complete this Health History Form prior to their first visit |
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Pre-Surgical History and Physical Form Please take this form to your primary medical doctor and have a preoperative history and physical performed prior to your surgery. |
| Procedure Information | |
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Autologous Serum Tears - Provider Information |
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Autologous Serum Tears - Instructions for the Use and Handling of |
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Cataract & Clear Lensectomy: Surgery Checklist Checklist to help you prepare for your cataract and clear lensectomy surgery. |
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Cataract and Implant Surgery: Post Operative Instructions Post-Operative Instructions for Cataract and Implant Patients. |
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Cataract Requirements Patient Letter Information about health care requirements prior to undergoing cataract surgery. |
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Cataract Surgery: What to Expect This document describes what you should expect before, during and immediately after your cataract surgery at Madison Street Surgery Center. |
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Retina Surgery Packet Includes letter of confirmation, pre-surgical requirements and post op information. |

