Online Patient Forms

Demographics and Insurance Information

Demographics and Insurance Information

  • Insurance Information

  • To allow us to file for your medical insurance benefits and/or accept Medicare assignment, you will need to sign a release upon visiting the office. Please call us at (214) 522-2661 if you have any questions!

Medical/Ocular History

MEDICAL/OCULAR HISTORY

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Our Locations


Main Office

3535 Travis St #170 Dallas, TX 75204



Surgery Center

10740 N. Central Expressway Suite 400 Dallas, TX 75231


Laser Center

1801 Inwood Road, Dallas, TX 75204