Cosmetic eyelid surgery, Blepharoplasty, Baltimore, Maryland, Towson, MD
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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 contact our office at 410-821-9490 extension 0.

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 the this link.

Notice Of Privacy Practices (PDF) (25K)
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

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

Cataract Surgery Consent Form (PDF) (15.6 K)
This form covers the risks and benefits involved in cataract extraction with intraocular lens implant.

 


LUTHERVILLE
1209 York Road | Suite 200 | Lutherville, MD 21093
Phone: 410-821-9490 | Fax: 410-821-9495
MERCY MEDICAL CENTER
301 St. Paul Place | Suite 902 | Baltimore, MD 21202
Phone: 410-727-8380 | Fax: 410-625-9472


Cosmetic eyelid surgery, Blepharoplasty, Baltimore, Maryland, Towson, MD

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Cosmetic eyelid surgery, Blepharoplasty, Baltimore, Maryland, Towson, MD