Bloomberg Eye Center : Forms : Columbus, Ohio Laser Eye Surgery :
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For your convenience and to save time, you may print these forms and bring them in on your first visit.

New Patient Forms

  • Medical History
  • Release and Authorization
  • HIPPA Form
  • New Patient Information

    LASIK Information


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    Contact Us

    If you live in Columbus, Central Ohio, West Virginia, or Kentucky and would like to schedule a free consultation with our LASIK vision correction specialist, please contact us by filling out the form below.