We appreciate your selection of our practice for your medical or cosmetic needs. Our practice is dedicated to providing the best care possible, and we look forward to it. To help make your visit with us as efficient, complete and comfortable as possible, please download our patient forms provided below, fill them out, and bring them with you to your appointment. Please arrive 15 minutes before your appointment time. As a respect to our patients, we will do our utmost to see you promptly. Please expect your appointment to take between 30 and 60 minutes, depending on the reason for the visit and if additional tests are required.

What you’ll need for your first appointment
A completed New Patient Packet.
Review our Privacy Notice.
List of all medicines, vitamins and nutritional supplements.
Eye glasses or contact lens as well as contact lens case.
Copies of previous operative reports if you have had eyelid surgery.
Copies of medical records or special tests, including the actual CT or MRI scans, if you have a complex medical problem.
If a procedure is recommended, it will be scheduled for a return visit.

For medical appointments, please bring the following (if applicable):
Photo ID
Insurance card
Primary physician referral (when required)
Your eye glasses or contact lenses

For cosmetic consultations, please bring the following (if possible):
Old photographs of yourself

It is standard of care, that photographs will be taken of you prior to and following initiation of most clinical treatments and/or performances of any surgical procedure. These are a must, as they help in judging response to treatment and in pre-operative planning of the surgery.

During most initial consultation, especially for medical purposes, dilation will likely take place. This involves having drops placed in both eyes. The drops take 15-20 minutes to dilate the pupils, allowing for an unobstructed view into the interior of the eyes. This is almost always done pre-operatively to establish the baseline condition of the eyes before surgery. Dilation may cause blurred vision for several hours and make bright lights more bothersome, which vary from person to person. In extremely rare cases, dilation may trigger acute angle-closure glaucoma in at risk individuals. Majority of patients are able to drive home after dilation. However, if you are uncomfortable or have had bad experience driving while dilated, you should bring a driver with you.

About Insurance
While we will do everything we can to work with the insurance companies, we do not know and cannot certify what professional or operating room services will be covered by your insurance. We will contact your insurance company to describe your conditions and provide supporting documents to get authorization if that is required. Please note that authorization by the insurance does not guarantee payment. You should also check with your insurance carrier about coverage before proceeding with surgery. Unfortunately, the patient is ultimately responsible for payment for services regardless of the insurance claim status or approval.

About HMO’s
Some insurance plans require pre-authorization prior to the office visit. If this is required by your insurance plan, please obtain authorization from your primary care physician before your appointment and bring it on your day of visit as we are not permitted by the HMOs to see their enrolled patients without prior authorization.

About Copays, Coinsurances and Deductibles
Your insurance plan determines the amount of copay, coinsurance and deductible. We are required by your insurance carrier, and by law, to collect all copays, coinsurances and deductibles. These are remitted at the time of service, including surgery. We will do our best to collect the correct amount. However, this is an estimate until we receive a Remittance Advisory or Explanation of Benefit from your insurance carrier after services have been rendered. You will be refunded or billed if there is a difference. Please be sure to check your insurance plan for in or out-of-network provision, which may affect the amount of your copay, coinsurance and deductible. Any outstanding balance not paid in full after 90 days of service will be turned over to a third party for collection.

In addition to the examination there may be diagnostic tests (i.e., visual field test, tear duct probe and irrigation, CT and MRI scan, lab, etc) and photographs taken as part of the complete evaluation. These are performed, when necessary, to help in the diagnosis and management of the medical conditions. As a results, there may be additional out-of-pocket costs, as dictated by the insurance plan. It is not possible for us to foresee all possible tests prior to the consultation or be able provide the costs of the work-up, as different plans have different allowable for the same service.

About Allowable versus Fee Schedule
Allowable is the amount the insurance plan has pre-determined that it will pay for a certain service. Each insurance plan, including ones under the same insurance company, has different allowable. Therefore, the allowable is the amount that the office gets paid and is also the amount the patient is responsible for if deductible has not been met or if the insurance plan denies payment. This amount may not be altered by the office without breach of contract with the insurance company. For this reason, we are not allowed by the insurance company to waive or discount deductible.

Fee schedule is a list of rates of all services that a practice may provide and use to bill insurance company. We have one fee schedule set to be inclusive of all insurance plans we participate in.

Many patients inquire why is the fee schedule billed so much higher than the allowable. While the fee schedule may be 1.5-2 times the allowable for your insurance plan, it still may be less than or equivalent the allowable of another plan. Therefore, the fee schedule may be significantly different from one insurance plan’s allowable, but not so different from another plan. Of note, patient is not responsible for the fee schedule; patient is only responsible for the allowable.

Payment Plans
We recognize that circumstances may arise wherein patients may not be able to pay in full at the time of service. We, therefore, will do our best with patients to device a reasonable payment plan. Payment plans, however, are available for medical services only and not cosmetic services.

Cosmetic Consultation Fees
Initial cosmetic consultation fee of $75 will be applicable to future treatments. Fees for nonfunctional surgery are determined by the extent of services needed to meet the patient's goals, and the fees are required in full two weeks prior to surgery.

Cancellation Fees
We understand that accidents and unexpected events occur without prior notice. We will be happy to reschedule in such circumstances. However, we will require a $50 deposit to reschedule on the third cancelation and/or no-show.

Other Fees
There is a $30 fee for completion of each form for DMV, SDI, FMLA, etc.

Other forms
Release of Information
History and Physical

Online Appointment