Patient Forms

In order for your surgery to run smoothly and efficiently, please ensure that all forms are filled out prior to your arrival.

These forms include:

• Patient Medical Information (4 pages)

• Vision Preferences Checklist (1 page)

• Patient Questionnaire (1 page)

Easy ways to complete the forms:

1. Complete forms by hand in paper booklet or

2. Pick up printed forms at Marietta Eye Clinic office or

3. Print forms from digital booklet and complete by hand or

4. Fill out the form by clicking on it in the booklet and typing your responses. Then print the form. Please note your information will not be saved. You must print the form when you have completed entering the information or

5. This is the preferred method. Access the patient portal to complete the forms electronically. Once in the portal, click > My Health and then > My Forms to find the forms. This option will send your completed forms directly to your surgeon! Simply click on the link below or type this URL into your browser. Patient Portal: http://bit.ly/3hlV5XA