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Meet the team:
Kevin J. Corcoran
Suzanne L. Corcoran
Donna M. McCune
Mary Pat Johnson
Kirk A. Mack
Paul M. Larson
Peter J. Sakol
Walter L. Underwood
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Forms (Free)
Forms (Free)
The following complimentary forms are provided as time-tested, useful tools to help ophthalmologists and optometrists improve their chart documentation and practice management.
Forms - Advanced Beneficiary Notice.pdf
Forms - Consultation Request Form.pdf
Forms - DME Supplier Standards.pdf
Forms - Exam Form.pdf
Forms - Exam Form_Pediatric.pdf
Forms - Extended Ophthalmoscopy.pdf
Forms - Financial Hardship.pdf
Forms - Laser Surgery Operative Report.pdf
Forms - Medical History Questionnaire.pdf
Forms - Minor Procedure Operative Report for Optometry.pdf
Forms - Minor Procedure Operative Report.pdf
Forms - Notice of Exclusion from Health Benefits -- Astigmatism Correction.pdf
Forms - Notice of Exclusion from Health Benefits -- Pseudophakic Monovision.pdf
Forms - Notice of Exclusion from Medicare Benefits -- Astigmatism Correction.pdf
Forms - Notice of Exclusion from Medicare Benefits -- Pseudophakic Monovision.pdf
Forms - Notice of Exclusion from Medicare Benefits.pdf
Forms - Pachymetry Interpretation.pdf
Forms - Pre Surgical Cataract Patient Questionnaire.pdf
Forms - Pre YAG Capsulotomy Patient Questionnaire.pdf
Forms - Signature on File, Assignment of Benefits, Financial Agreement.pdf
Forms - Test Interpretation Report.pdf
Forms - Tricare Non-Covered Services Waiver.pdf