Download Patient Forms

In order to help make your visit with us as comfortable and as smooth as possible, we have posted our patient forms online.

Open the PDF forms, print them out, fill them out, and bring them with you to your next appointment. If you have any questions, please call us at 951-737-6363.

The Patient Forms consist of the following:

Patient Information Form
Patient History Questionnaire
Patient Rights and Responsibilities

Cataract Surgery
Cataract Treatment
IOL Lens Implants

LASIK
Laser Vision
Correction

Routine Eye Exam
Eye Disorders

Home | Meet Dr. Schneider | LASIK Procedure | IntraLase Procedure | PRK Procedure | Cataract Surgery and Treatment
ReSTOR Lens | ReZoom Lens | Crystalens Lens | Visian ICL Lens | Glaucoma Treatment | Macular Degeneration | Diabetic Retinopathy | Blepharitis
Fuch's Dystrophy | Keratoconus | Intacs for Keratoconus | Corneal Procedures | Cosmetic Procedures | Routine Eye Exams | Eye Injuries
Myopia-Nearsighted | Hyperopia-Farsighted | Astigmatism | Presbyopia | Flashes and Floaters | Dry Eye Syndrome | Conjunctivitis (Pink Eye)
Optical | Financing | Schedule an Eye Exam | Schedule a LASIK Evaluation | Contact Us | Office Location | Patient Forms
Age 20-40 | Age 40-60 | Age 60-80