Thursday, March 22, 2018
The patient information center has been designed around you, our patients. The center contains everything you'll need, from forms you can print or download to links for patient financing. We want you to have a smooth and worry free experience with us. So, if you need something and cannot find it here, please contact us and let us know what we forgot.

CareCredit Financing

CareCredit for better vision
When to have your vision procedure should be the question, not how to pay for it. We’d like to make that decision even easier for our patients. That’s why we’re pleased to offer the CareCredit ® card, North America's leading patient payment program. CareCredit lets you begin your procedure immediately — then pay for it over time with low monthly payments that fit easily into your monthly budget. Now you don’t have to save up for years to finally get the vision you’ve always wanted. We’ll help you see clearer, sooner.
Your healthcare credit card
CareCredit is the credit card exclusively for healthcare services. CareCredit offers low monthly payment plans for healthcare procedures not commonly covered by insurance, including LASIK. Don’t put off improving your vision. Get your procedure now.
For vision procedures, CareCredit offers:
  Low minimum monthly payments
  No up-front costs or pre-payment penalties
Learn more by visiting Ready to apply? Apply online for your CareCredit card today.

Forms & Questionaires

Click on the Adobe logo or file name to open and view or print a form. However, you will need to have the Adobe PDF reader installed in order to do this. If you do not have the Adobe PDF reader you can download it for free here. All forms are also available for download to your computer by clicking the WinZip logo . If you do not have WinZip you can download it for free here.
 Registration Forms
  Registration Form
  Registration Health History Form
 Medical Clearance Form
  Surgical Medical Clearance
 Cataract Surgery
  Cataract Surgery Questionnaire
  Cataract & Clear Lens Surgery Questionnaire
  Cataract Surgery Post-Op Instructions
 LASIK & PRK Surgery
  LASIK Consent Form
  PRK Consent Form
  LASIK & PRK Post-Op Instructions
 Laser Center Directions
  Laser Center Directions
 All Forms
  Download All Forms
Rquest Appointment

CAPTCHA code image
Speak the codeChange the code

Copyright 2010-2012 Cataract & Laser Eye Surgeons