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Patient Forms :: SITE LAST UPDATED: Aug 7, 2010  
Forms Menu
Patient Forms
Checklist of Things to Ask Your LVC Provider
Vision Correction Procedures Frequently Asked Questions

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 989-732-6455 for assistance or email us your questions at alpineeye@mysgo.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:

Informed Consent:

  • LASIK
  • PRELEX
  • LTK

Pre-operative instruction:

  • For laser vision correction patients
  • For cataract patients

Post-operative instructions:

Meet the Doctors
·  Jeffrey K. Chaulk, M.D.
·  William R. Shouldice, O.D.
·  Julie L. Samu, O.D.
News
·  Read about our news
Links
·  We have links to several other sites that may help you
Appointments
· Schedule a consultation with our doctors. Tell us when you would like to visit.

 
Locations

VISIT US AT: 350 North St Gaylord MI 49735
PH: 989-732-6455 | 1-877-SEE-2020 | FAX: 989-732-1102 EMAIL: alpineeye@mysgo.com

 
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