Document Library

Thank you so much for helping me to see clearly again! I feel like this is such a wonderful gift. Your staff was so helpful and friendly that it made the whole process much easier.

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
	Cataract Surgery: Appointment Schedule Download this form to assist you in tracking information about your scheduled cataract surgery.
	Health History Form Patient health history form, to be completed prior to first visit.
	Insurance Patient Letter Information about insurance co-pay and responsibilities. Includes contact information for payment arrangements.
	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.
Physician Forms
	Omni Eye Referral Form Referring form for physician referrals.
Procedure Information
	Cataract & Clear Lensectomy: Surgery Checklist Checklist to help you prepare for your cataract and clear lensectomy surgery.
	Cataract and Implant Surgery: Post Operative Instructions Post-Operative Instructions for Cataract and Implant Patients.
	Cataract Requirements Patient Letter Information about health care requirements prior to undergoing cataract surgery.
	Cataract Surgery: Informed Consent/Background Information Background information and informed consent for cataract surgery and implantation of an intraocular lens.
	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.
	IOL Informed Consent Informed consent addendum for toric intraocular lens implantation.
	LRI Informed Consent Informed consent for limbal relaxing incisions (LRI).
	Post Surgery: 24-hour Instructions What to do the first 24 hours after surgery.
	Retinal Surgery: Pre-Op Instructions Preparing for your retinal surgery; What to expect before and after your surgery.
	Surgery Packet Includes letter of confirmation and pre-surgical requirements.