Patient Request Form

This section of our website contains the forms that are commonly required for our patients. If you have any questions regarding these documents or have difficulty downloading them, please email us.

The forms below are PDF files. To review and print them the Adobe Acrobat Reader plug-in is required. Please download a free version using this link.

Forms

Medical Records Release Form (PDF) (1.1 M)- f you wish to have your previous medical records sent to Katzen Eye Group, just download and complete this form

Cataract Surgery Consent Form (PDF) (55 K)- This form covers the risks and benefits involved in cataract extraction with intraocular lens implant.

Appointment Request (online form)-Schedule your appointment and select your doctor right from your desktop.

Contact Lens Request (online form)-Our in-house optical dispensary, Optical Department at Katzen Eye Group, is pleased to make the re-ordering of contact lenses and glasses as simple as possible. For re-orders, please complete the information below or contact us by phone at 410-828-8044.

Contact Lens Policies (PDF)- This form covers information on the Eye Exam, Contact Lens Fitting, Training Session, Fee Policy etc.

Change of Address (online form)-Need to update your information? Do it right here.