Huntington Beach
Patient Forms

19671 Beach Blvd. Suite 400 Huntington Beach, California 92648

(714) 842-0651

Also serving, Newport Beach, Costa Mesa, & Orange County

At Clarity Eye Group, we strive to make our patients’ appointment experiences as simple and time-saving as possible. For your convenience, we have streamlined our patient information forms and made them available for download on this website. Patients can save time by filling these forms out before their scheduled appointment.

Download Our Patient Information Packet

Please print and fill out the forms in our patient information packet below and bring them with you to your next scheduled appointment. The packet includes important information regarding patient medical history, health insurance, financial responsibilities, notice of privacy practices, and more.

Patient Information Packet (requires Adobe® Acrobat Reader™)

Medication List (requires Microsoft Excel)

Download Our Surgery Consent Forms

Cataract Consent Form (requires Adobe® Acrobat Reader™)

Eyelid Blepharoplasty Consent Form (requires Adobe® Acrobat Reader™)

Refractive Keratotomy Consent Form (requires Adobe® Acrobat Reader™)

Download our Records Release Form (requires Adobe® Acrobat Reader™)

Contact Clarity Eye Group Today

For more information about vision correction surgery or the optometry and cosmetic services we offer, please contact our eye surgeons and staff today.

Schedule an Eyecare Consultation

 

Please fill out contact form below
Or call — (714) 842-0651

info@clarityeyegroup.com

 

19671 Beach Blvd. Suite 400 Huntington Beach, California 92648