Patient Forms

Paperwork is a necessary evil in the practice of medicine today.  We want to ease your time with us so we can spend more time seeing you.  You have two options regarding these forms.  You may:

Complete By Hand:  Print forms out and complete by hand.  Bring your forms to your scheduled appointment, or

Complete Online:  Save the blank document to your desktop.  Once you’ve saved the blank document(s) to your desktop, complete forms and re-save the completed forms to your desktop. Then attach your completed forms to a new email message and email to us prior to your appointment. Please email forms to: info@bonitaeye.com

IF YOU ARE NEW TO OUR PRACTICE:

• New Patient Packet
• Notice of Privacy Practices  (print for your records if desired)

IF YOU ARE SEEING US FOR A CATARACT OR LENS REPLACEMENT EVALUATION:

• Vision Preferences Checklist
• What Insurance Will and Won’t Cover

IF YOU ARE SEEING US FOR A LASIK CONSULTATION:

• LASIK Checklist

IF YOU’D LIKE US TO RECEIVE
RECORDS FROM YOUR PREVIOUS DOCTOR: 

• Medical Records Release