904.272.2020
call us now!
RSS
Facebook
Facebook
Google+
Google+
http://www.clayeye.com/patient-information/patient-forms/">
Twitter

Patient Information

Patient Forms

Required Paperwork for each visit

On your visit to our office, we recommend you arrive 15 minutes prior to your scheduled appointment time. If you need help locating us, please click here. When you arrive, you will be greeted by one of our reception desk employees who will ask you to provide some required information.

 

 

Filling out these forms generally takes 10-15 minutes. For your convenience, we have made the Patient Information Form available for you to fill out before hand. We recommend you view the form in Adobe Reader v6.0 or better. You can type your information directly onto this form. Please print it out and bring it with you to your appointment. Please remember that an updated form and signature may be required by your insurance company on every visit to our Practice.


Dilation Information

It may be necessary to dilate your eyes during the course of your eye examination or treatment. Dilation results in sensitivity to light and an inability to see well at close range or distance for a few hours. We provide free disposable sunglasses or dark sunglass inserts. Patients should wear sunglasses and be cautious walking and going up or down stairs. We recommend avoiding driving or operating dangerous machinery immediately afterwards. We recommend that someone accompany you to drive you home or that you wait until your eyes return to normal so that you can drive safely.


Refraction Information

Depending on the nature of your visit, your doctor may determine that it is necessary to perform a refraction. This is a valuable test that determines whether your blurred vision is caused by a medical condition or is a simple need for new glasses or a contact lens prescription. Most insurance companies don’t pay for this portion of your eye exam. Contact your insurance carrier or our office for more details.

Common Eye Conditions
learn more
senior eye health
learn more
comprehensive & routine eye exams
learn more

are you a candidate for lasik?

Find out if LASIK is right for you.

take our LASIK self test

DO YOU SUFFER FROM CATARACTS?

Find out if you are a candidate for a cataract surgery

take our cataract self test

ORDER CONTACT LENSES ONLINE

For your convenience order your prescription contact lenses online. In case your prescription has expired please schedule a new eye examination.

order contact lenses