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.com/

Cataract Surgery Vision Simulator: https://www.tecnisvisionsimulator.com/

Patient Journey

Patient Journey

What to anticipate regarding your surgery at our practice.

About Our Practice

About Our Practice

Information about us as well as your Surgery Day Checklist

Consent for Release

Consent for Release

Consent for Release of Confidential Info

COVID-19 Survey - Guest

COVID-19 Survey - Guest

COVID-19 (Sx Patient Guest or Driver) Exposure Control Survey

COVID-19 Survery - Patient

COVID-19 Survery - Patient

COVID-19 (Sx Patient) Exposure Control Survey

COVID-19 Patient Consent

COVID-19 Patient Consent

COVID-19 Patient Informed Consent

Medication Reconciliation

Medication Reconciliation

Medication Reconciliation Form

Notice of Privacy Practices

Notice of Privacy Practices

Notice of Privacy Practices

Patient Bill of Rights

Patient Bill of Rights

Patient Bill of Rights and Patient Responsibilities

Pre-Op Medical History

Pre-Op Medical History

Pre-Operative Medical History

Transportation Agreement

Transportation Agreement

Transportation Agreement