Patient Forms and Resources
Patient Resources
The staff at Precision Surgery Center of Napa Valley looks forward to meeting you and discussing what you can expect throughout your surgical experience. We strive to keep our surgical procedures on time as scheduled. Prior to your scheduled surgery, we encourage you to fill out the patient forms that are located on this website to accelerate the admission process. Please download, print, and complete the forms and bring them with you on the day of your surgery. If you are unable to download our patient forms, then it is recommended that you arrive for your procedure early so that you have ample time to fill out the appropriate forms.
Initial Consultation
You should plan to arrive at our Napa, CA, surgical center at the arrival time designated by our staff. Please bring a list of medications you are currently taking, including any eye drops, on the day of surgery.
Important: All patients under 18 must be accompanied by a parent or guardian.
Depending on the type of procedure you are receiving, your eyes may be dilated, and you may consider arranging a ride home.
Referrals
If your doctor has referred you, he or she will promptly receive a letter outlining our findings and the course of treatment. We encourage you to return to your referring doctor after our specialized care is complete.
Useful Patient Links
American Academy of Ophthalmology (AAO) Patient Education: https://www.aao.org/eye-health
Magnifiers: https://www.magnifyingaids.
Cataract Surgery Vision Simulator: https://www.tecnisvisionsimulator.com/
Patient Journey
What to anticipate regarding your surgery at our practice.
About Our Practice
Information about us as well as your Surgery Day Checklist
California Advance Directive
California Attorney General Advance Health Care Directive Form
Consent for Release
Consent for Release of Confidential Info
COVID-19 Survey - Guest
COVID-19 (Sx Patient Guest or Driver) Exposure Control Survey
COVID-19 Survery - Patient
COVID-19 (Sx Patient) Exposure Control Survey
COVID-19 Patient Consent
COVID-19 Patient Informed Consent
Medication Reconciliation
Medication Reconciliation Form
Notice of Privacy Practices
Notice of Privacy Practices
Patient Bill of Rights
Patient Bill of Rights and Patient Responsibilities
Pre-Op Medical History
Pre-Operative Medical History
Transportation Agreement
Transportation Agreement