Document detailing basic information regarding the patient and medical history.
Document detailing Doctor/Patient Confidentiality
Document detailing the Privacy Policy of Premier Eye Care and Surgery
Document authorizing the release of Records
Provides information on who we are allowed to communicate with
Form to fill out for eye exams required by schools

Serving Chicago Area and Northwest Suburbs for over 30 Successful Years
Buffalo Grove Office: 847-459-6060
Barrington Office: 847-382-4116