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593. 2199 Primary Name First/Last Age Surgery Date Enhancement Exam Data OD OS Goal History 1 Day Meds Acuity 2 Mo Refraction Happy Unsure Unhappy AT s x a day UCVA 20/ 20/ Other Flap Good SPK Debris Straie DLK EI Assessment Plan Enhance RTC InS CoMg Notes Today s Date Doctor s Signature. Lasik Post-Op Evaluation Referring Doctor Please FAX completed form to Parker 720. 880. 6460 Boulder 303.
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01
Gather all the necessary information and documents required for the form.
02
Read the instructions on the form carefully to understand the information needed.
03
Start by providing your personal details such as full name, date of birth, and contact information.
04
Follow the form's sections to provide details about your previous medical history, especially any eye-related conditions or surgeries.
05
Describe any medications you are currently using or allergies you may have.
06
Specify the date and details of your Lasik surgery, including the name of the surgeon and the clinic.
07
Provide information about your post-operative experience, including any complications or side effects.
08
If necessary, attach any supporting documents or medical reports requested by the form.
09
Review the filled form for accuracy and completeness.
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Sign the form and date it in the designated area.
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Submit the completed Lasik post-op form as instructed, either by mail, fax, or electronically.

Who needs lasik post-op form?

01
Anyone who has undergone Lasik surgery needs to fill out a Lasik post-op form.
02
It is a requirement for patients who have received Lasik surgery to provide follow-up information about their post-operative experience.
03
Lasik post-op forms are necessary to monitor the success of the surgery and evaluate any complications or side effects.
04
Both adults and older teenagers who have undergone Lasik surgery are typically required to complete this form.
05
The information provided in the Lasik post-op form helps ophthalmologists and healthcare professionals assess the outcomes of the surgery and provide appropriate post-operative care.
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LASIK post-op form is a document that records the results and follow-up information after LASIK eye surgery.
The patient who underwent LASIK eye surgery and their ophthalmologist are required to file the LASIK post-op form.
The LASIK post-op form is typically filled out by the ophthalmologist who performed the surgery, with input from the patient regarding any post-operative symptoms or concerns.
The purpose of the LASIK post-op form is to track the progress of the patient's recovery after surgery, and to identify any potential complications or issues that may arise.
The LASIK post-op form typically includes information such as visual acuity, intraocular pressure, corneal thickness, and any post-operative medications or treatments.
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