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Fichte, Endl & Elmer Eyecare

Required Co-Management Forms

Here you will find the two forms required to serve co-managed patients. As of Sept 1 2019, we now have one simple co-managed patient exam form to be submitted for both Laser Vision Correction and Cataract surgery patients. This form along with the Election of Post Operative Care form need to be sent over to our call center before your patient is seen in the office.

Co-managed patient exam form
Election of post operative care form

Other Helpful Forms

Co-managed Patient Tracking Form
Contact Lens Instructions for Laser Vision Correction Patients