Click on any of the pdf icons below to open the corresponding forms:
Notice of Privacy Practices – part of the Health Insurance Portability and Accountability Act (HIPAA), this notification explains your privacy rights as a patient
Release of Medical Information – used to transfer your medical records from another office
Advance Beneficiary Notice of Noncoverage (Medicare Patients Only) – explains any fees that are not covered by Medicare. The fees are based on the services being rendered to each patient. Every Medicare patient receives this form during check-in.
Amsler Grid Test – a tool that Dr. Kara uses to help detect vision problems resulting from damage to the macula (the central part of the back of the eye) or the optic nerve