Printable Patient Forms

Printable Patient Forms

At Solomon Eye Physicians & Surgeons, we value your time and are committed to making your visit at our practice as easy and convenient as possible. To give you an opportunity to fill out our patient forms and review our policies in the comfort of your own home and to save you time during the new patient registration process, please use the forms provided below.

• FAQs Post Cataract Surgery
• Intacs Drop Regimine
• Records Request
• Glaucoma Lifestyle Questionnaire

NEW PATIENT FORMS

• Registration Form
• Medical History Form
• Financial & Patient Rights Form

CATARACT CONSULTATION FORMS

• Registration Form
• Medical History Form
• Financial & Patient Rights Form
• Lifestyle Questionnaire
• Visual Functioning Index Form

LASIK / PRK CONSULTATION FORMS

• Registration Form
• Medical History Form
• Financial & Patient Rights Form
• Lifestyle Questionnaire

POST SURGICAL PROCEDURE FORMS

• Instructions After Cataract Surgery
• FAQs Post Cataract Surgery
• Intacs Drop Regimine

MISCELLANEOUS

• Records Request
• Glaucoma Lifestyle Questionnaire
• Demographic Questionnaire
• Patient Login