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Get the free Pre-Operative LASIK Evaluation - Hollingshead Eye Center

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FAX TO: 2084260902 2083368700 Preoperative LAST Evaluation Names: DOB: Age: Exam Date: Address: Sex: Male Female Surgery Date: Phone: (H) Phone: (W) SSN: Optometrist: Medical History: Healthy Ocular
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How to fill out pre-operative lasik evaluation

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How to fill out pre-operative lasik evaluation:

01
Start by carefully reading all the instructions provided in the pre-operative lasik evaluation form. Make sure you understand each section and what information is required.
02
Begin by providing your personal information, such as your full name, date of birth, and contact details. This is essential for identification and communication purposes.
03
Move on to the medical history section. Answer all the questions honestly and accurately. Provide information about any pre-existing medical conditions, past eye surgeries, or any medications you are currently taking. This information helps the surgeon assess your suitability for the procedure and ensure your safety.
04
Next, you may be required to disclose any allergies or sensitivities you have. It is crucial to mention any known allergies to medications or anesthesia, as this can affect the choice of medications used during the surgery.
05
The next section of the evaluation form may include questions about your lifestyle and habits. You may be asked about your occupation, hobbies, and activities that could potentially impact your eyesight post-surgery. This information helps the surgeon determine the best approach and set realistic expectations for the results.
06
Some evaluation forms may include a section where you need to indicate your expectations and goals from the lasik procedure. It is important to be clear and realistic about what you hope to achieve, as this allows the surgeon to discuss and explain the potential outcomes.
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Lastly, review the completed form to ensure all the sections are filled and there are no missing or incomplete answers. If you have any doubts or concerns, it is best to consult with your ophthalmologist before submitting the form.

Who needs pre-operative lasik evaluation:

01
Individuals who are considering or have been advised to undergo LASIK surgery should undergo a pre-operative lasik evaluation.
02
Candidates with stable vision are usually recommended to have a pre-operative lasik evaluation. This means that the prescription for their glasses or contact lenses has not significantly changed over the past year.
03
People who are at least 18 years old and have a stable eye prescription within the acceptable range for LASIK may require a pre-operative lasik evaluation.
04
Those who have realistic expectations and understand the potential risks and benefits of LASIK should go through a pre-operative lasik evaluation.
05
Individuals without any pre-existing eye conditions or diseases that could compromise the success of the surgery are usually eligible for a pre-operative lasik evaluation.
Note: It is important to consult with an ophthalmologist or eye surgeon to determine if you are a suitable candidate for LASIK and to undergo a comprehensive pre-operative lasik evaluation.
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Pre-operative LASIK evaluation is a comprehensive eye exam done before LASIK surgery to determine if a patient is a good candidate for the procedure.
Patients who are considering undergoing LASIK surgery are required to undergo and file a pre-operative LASIK evaluation.
A qualified ophthalmologist or optometrist will perform the necessary tests and evaluations to fill out the pre-operative LASIK evaluation form.
The purpose of pre-operative LASIK evaluation is to assess the patient's eye health, determine their eligibility for LASIK surgery, and reduce the risk of complications.
The pre-operative LASIK evaluation must include information about the patient's medical history, current eye health, visual acuity, corneal thickness, and other relevant factors.
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