Patient Forms

For your convenience, we have made a number of forms available for patients to download. If you are new to our practice, we encourage you to download and print out the new patient forms. Filling these out in advance of your first visit will minimize the time you spend in the waiting room filling them out when you get here. Other forms are informational. If your doctor has given you a form with specific information or instructions different from the information on these online forms, rely on the information given to you by your doctor, not on the online forms. If you're not sure which forms you need, please call 818-265-2255 for assistance or email us your questions at amyb@joneseyecenters.com.

If you're unable to open these files, you probably need to download the free Adobe Acrobat Reader program, which is available at the following location: www.adobe.com/products/acrobat/readstep.html

Click on the forms you would like to download:

• New Patient Forms
• Welcome Form
• Laser Vision Correction Procedures Frequently Asked Questions
• Laser Vision Provider Checklist

Informed Consent:

• LASIK
• PRELEX
• LTK

Pre-operative instruction:

• For laser vision correction patients
• For cataract patients

Post-operative instructions:

• For LASIK Patients
• For Cataract Patients
• Amsler Grid (Home Test for Macular Degeneration)