Forms

Corcoran Consulting Group has a selection of forms that are free to download and use.

Search for a form topic, or choose a form from our library below.

Topic	Title
ABN	ABN (Advance Beneficiary Notice of Noncoverage)
ABN	ABN – Blepharoplasty
ABN	ABN – Canaloplasty
ABN	ABN – Corneal Topography
ABN	ABN – Refractive Cataract Surgery ASC
ABN	ABN – Refractive Cataract Surgery Pretesting (Surgeon)
ABN	ABN – Refractive Cataract Surgery Professional Fee (Surgeon)
ABN	ABN – YAG Floater
ASC	ASC Diclosure of Physician Ownership
Comanagement	Comanagement Consent Form
Comanagement	Comanagement Request Form
Comanagement	Comanagement Request Form + Sample Transfer Agreements
Compliance	Compliance Incidence Conduct Report
Consultation	Consultation Request Form
Exam	Exam Form
Exam	Exam Form – Oculoplastics
Exam	Exam Form – Oculoplastics (short)
Exam	Exam Form – Pediatric
Financial Hardship	Financial Hardship Form
Fundus Photography	Fundus Photography with RHA Forms
Glasses	ABN – Glasses
Glasses	ABN – Non PAR
Glasses	ABN – No DMERC
Glasses	ABN Guidelines Applicable to an Optical Dispensary
Glasses	Glasses Delivery Receipt
Glasses	Glasses Rx Form
Glasses	Glasses Signature on File Form
Glasses	Glasses Supplier Standards for DMEPOS
Glasses	Glasses Supplier Standards for DMEPOS (short)
Glasses	HCPCS Codes for Vision Care
HPI	History of Present Illness Form
Implantable Miniature Telescope	IMT Informed Decision Agreement
Laser Floaters	Laser Floater Forms (Ellex)
Medical History	Medical History Form
Medicare Overpayment	Medicare Overpayment Letter
Medicare Overpayment	Medicare Overpayment Self-Disclosure Letter
NEHB	NEHB (Notice of Exclusion from Health Plan Benefits)
NEHB	NEHB – Deluxe IOL
NEHB	NEHB – PRK
NEHB	NEHB – Pseudophakic Monovision
NEHB	NEHB – Refractive Keratoplasty
NEHB	NEHB – Toric IOL
Operative Report	Laser Operative Report
Operative Report	Minor Procedure Operative Report
Operative Report	Minor Procedure Operative Report – Optometry
Out of Network Waiver	Out of Network Waiver
Pretreatment Questionnaire	Cataract & Refractive Lens Exchange Questionnaire
Pretreatment Questionnaire	Presurgical Questionnaire – Cataract
Pretreatment Questionnaire	Presurgical Questionnaire – Eyelid and Brow
Pretreatment Questionnaire	Presurgical Questionnaire – YAG
Pretreatment Questionnaire	Rosacea Questionnaire
Pretreatment Questionnaire	TearLab Dry Eye Questionnaire
Private Insurance	Request for Review for Private Insurance Form
Signature on File	Signature on File / Assignment of Benefits
Signature on File	Signature on File / Assignment of Benefits (Spanish)
Test Interpretation	Test Interpretation Form
Test Interpretation	Extended Ophthalmoscopy Form
Test Interpretation	Photography Request Form
Test Interpretation	TearLab Tear Osmolarity Testing Order & Interpretation Forms
Test Interpretation	Test Interpretation Form – Optometry
Test Interpretation	Test Interpretation Form – Pachymetry
Test Interpretation	Topography Order & Interpretation Form
Test Interpretation	VEP Report Form
Waiver of Insurance	Waiver of Insurance Form