Patient Forms

Patient Forms

Patient forms are here for you to complete prior to your appointment.  By filling in these forms prior to your appointment, it gives us more time in the consultation room to examine your eyes.

If you are unsure of any answers on the form, you can consult with other health professionals for feedback, and with children’s teachers or tutors who may help you answer them.  I will ask you additional questions about their vision problems and how this limits you.

For Adults

Adults Health Screen

To be completed by patients over 18 years of age

For Children

Children’s Health Screen

To be completed by patients under 18 years of age

Teachers Form

To be completed by the child’s class teacher

Informed Financial Consent

Informed Financial Consent

Information about treatment costs

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