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  • Home
  • Our Practice
    • About Us
    • Hours and Appointments
    • Emergencies
  • Our Doctors
    • David D. Markoff, M.D., F.A.C.S.
    • Marianne Geraci, M.D.
    • Sara B. Deacon, M.D.
    • Caroline L. Denwood, M.D.
    • Kristel W. Causby, O.D.
    • Nathaniel Cleaveland, D.O., F.A.O.C.O.
  • Services
    • Routine, Medical, Surgical and Consultative Eye Care
    • Optical Services
    • Cataract Surgery
    • PRK (Laser Vision Correction)
    • PRK Technology
    • Glaucoma
    • Macular Degeneration
    • Diabetic Eye Care
    • Optical
    • Specialty Contact Lens Fitting
  • Patient Resources
    • Patient Portal
    • Pay Your Bill
    • Care Credit
    • Patient Forms
    • Patient Education
      • Videos
    • Fees and Insurance
    • FAQs
    • Good Faith Estimate
  • Testimonials
    • Leave A Review
  • Contact / Locations
    • Clyde
    • Sylva
    • Waynesville
    • Haywood Outpatient Surgery Center
    • Harris Regional Hospital
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828-452-5816
Online Clinic Patient Portal Pay Your Bill

Patient formsBy filling out your paperwork before arriving at our office you can reduce your wait time. Please ask our receptionists if you need help or have any questions.

Paperwork and consents must be updated yearly to ensure we have updated information. Always bring your current insurance card and a medication list to your appointment. We also encourage you to use the patient portal to update at any time from home!

Authorization to Release Medical Records

Dilate and Refraction Consent

History Sheet

Medical Records Release to Others

No Show Policy

Notice of Privacy Practices

Pediatric Review of Systems

Review of Systems

Patient Registration

 

 

 

 

  • Home
  • Our Practice
    • About Us
    • Hours and Appointments
    • Emergencies
  • Our Doctors
    • David D. Markoff, M.D., F.A.C.S.
    • Marianne Geraci, M.D.
    • Sara B. Deacon, M.D.
    • Caroline L. Denwood, M.D.
    • Kristel W. Causby, O.D.
    • Nathaniel Cleaveland, D.O., F.A.O.C.O.
  • Services
    • Routine, Medical, Surgical and Consultative Eye Care
    • Optical Services
    • Cataract Surgery
    • PRK (Laser Vision Correction)
    • PRK Technology
    • Glaucoma
    • Macular Degeneration
    • Diabetic Eye Care
    • Optical
    • Specialty Contact Lens Fitting
  • Patient Resources
    • Patient Portal
    • Pay Your Bill
    • Care Credit
    • Patient Forms
    • Patient Education
      • Videos
    • Fees and Insurance
    • FAQs
    • Good Faith Estimate
  • Testimonials
    • Leave A Review
  • Contact / Locations
    • Clyde
    • Sylva
    • Waynesville
    • Haywood Outpatient Surgery Center
    • Harris Regional Hospital
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