Referring Doctor Patient Forms
The cataract and laser center specialists at Eye Care of Delaware provide expert eye treatments to those in Newark and the surrounding areas. For optometrists providing a referral, listed below are general office forms and patient instructions.
General Office Forms
- OD Referral Form (not for cataract referrals)
- Test Order Form B-Scan, Tear Lab, OPD, Allergy Testing, OCT
New Patient Forms for Eye Care of Delaware
- Forms for New Patient
- Cataract Evaluation for New Patient
- Financial Responsibility Policy
- Notice of Privacy Practices
Cataract Surgery
- Cataract Surgery Pre-operative Work-up
- Cataract Post Op Form (Updated November 2020)
- Cataract Lifestyle Questionnaire
- History and Physical Form for Surgical Patient
- 90 Day Global Period Calculator
- OD Co-management Form Premium Lens
You Can Trust Eye Care of Delaware With Patient Care
Our staff at Eye Care of Delaware takes great pride in providing helpful information and excellent resources. For more on the treatments and services offered by Eye Care of Delaware, call (302) 454-8800. In addition, you may have your patients request an appointment at this link.
