Advanced Ophthalmology Technology. Personalized Eyesight Care.

Patient Forms

Advanced Cataract & Glaucoma PLLC Patient Forms

Please click below to access PDF forms.

  1. Release of Information Form
  2. Financial Policies and Procedures
  3. Privacy Practices Form
  4. Primary Physician Form
  5. Medical Records Request Form
  6. Consent to Treat Form
  7. Cataract Surgery Consent Form
  8. Seven Ways To Protect Your Eyes From Age-Related Macular Degeneration
  9. Downloadable Hudson Location Map
  10. Downloadable Clearwater Location Map