We need to update these forms regularly to be able to keep up with patient communication.
Having a complete summary of all health concerns will help narrow down effects on eye health.
Please contact Dr. Hodge O.D. /President for any questions.
Due to HIPPA compliance we are unable to release patient information to family members unless otherwise instructed by the person whom the records belong to.
It is customary for our office to take copies or medical and vision insurance coverage.
With our new technology and our examination, we are better able to evaluate medical conditions which are billed to medical insurance for treatment and continued care.
We can co-manage your surgical procedure with several doctors. Please talk to your optometrist about your readiness to undergo a surgical procedure. Part of this evaluation will include dilation to rule out disease processes that may make you more prone to negative outcomes. When you are ready to perform your surgery, we will need you and your doctor to fill out the form below. This allows the doctors to perform your follow up care: 1 day , 1 wk and 1 month post operatively. This can vary depending on the surgical procedure and the healing process.
It is necessary to bring a copy of insurance cards (Medical and Vision) and a photo ID.