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NEW PATIENT FORMS
Assignment of Medicare Benefits
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Print & Fill Out
Financial Assignment Sheet
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Print & Fill Out
HIPAA Notice of Privacy Practices
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Print & Fill Out
Patient Information Sheet
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Print & Fill Out
Patient Medical Information
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Print & Fill Out
HIPAA
Compliance Plan
HIPAA Security Plan
Red Flag
Rule Policy
Map -
Katy Office
SURGERY FORMS
Cataract Surgery
Questionnaire -
Print & Fill Out
LASER
VISION CORRECTION FORMS
CustomVue
Advantage
Patient Information Booklets
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Facts
You Need to Know About CustomVue™ Laser Assisted
In-Situ
Keratomileusis (LASIK) Laser Treatment. Please
read the patient information booklet completely.
Discuss any questions with your doctor before you
decide if CustomVue LASIK is right for you. Only an
eye care professional trained in laser vision
correction can determine whether you are a suitable
candidate.
Patient Information Booklet
for High Myopia (Nearsightedness)
Patient Information Booklet
for Myopia (Nearsightedness)
Patient Information Booklet
for Hyperopia (Farsightedness)
Patient Information Booklet
for Mixed Astigmatism
Patient
Information Sheet - VISX Wavefront-Guided LASIK for
Correction of Myopic, Hyperopic, and Mixed
Astigmatism
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