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Patient Resources
Everything you need before your visit: printable and fillable forms, what to expect at your appointment, and information about financing your care.
Before your visit
Forms & Downloads
Complete these forms in advance to save time at check-in. Fillable forms can be completed, signed, and sent to us online; the others can be downloaded, printed, and returned by email or mail.
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Record Release
Authorize the release of your medical records to or from our office.
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For Referring Providers
Referral paperwork for physicians sending patients to GSG Eye Surgeons.
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Record Release - Dr. Marc Siegel's Patients
A dedicated record-release form for patients previously seen by Dr. Marc Siegel.
How Fillable PDF Forms Work
Some forms on this site are fillable directly on your computer or phone. Selecting Authorization to Disclose Protected Health Information opens our secure PDF-filler tool, where you can fill, sign, and send your documents straight to our practice, or print or email yourself a copy. A downloadable version is also available; a few fields on that version must be completed by hand after printing. Completed and scanned forms can be emailed to [email protected].
Scan to Open on Your Phone
Authorization to Disclose PHI
Scan with your phone's camera to open the fillable authorization form.
Record Release - Glaucoma Center of MI
Pre-filled specifically for Glaucoma Center of Michigan patients.
Before you arrive
Your Appointment
Here's what to expect, what to bring, and a few notes for contact lens wearers and cancellations.
What to Expect at Your Appointment
Your appointment is a comprehensive evaluation and will take at least 2 hours. Your visit may take longer if you have additional testing or complex eye problems.
When you arrive, please bring:
Insurance cardsAll medical insurance cards.
Photo IDDriver's license, state ID, passport, or college ID.
List of medications
Payment methodFor co-pays and non-covered out-of-pocket fees.
A parent or legal guardianRequired if the patient is a minor.
Completed formsMedical History & Patient Information forms (new patients only).
A driverIf you're not comfortable driving with dilated eyes.
Cataract and LASIK Evaluations
In addition to your comprehensive appointment, testing specific to your evaluation will be performed. You'll also have an opportunity to review consent forms and, if you choose, schedule your procedure the same day. We recommend planning on being in the office for approximately 3 hours.
Contact Lens Wearers
Soft contact lensesRemove 3–5 days prior to your appointment.
Hard contact lensesRemove 7 days for every 10 years worn. For example, a 30-year wearer should remove lenses about 21 days prior.
Canceling an Appointment
We recognize that illness and other unplanned circumstances arise. If you cannot keep your appointment, please give our office at least 24 hours' notice so we can offer the slot to another patient.
Paying for your care
Financing Options
We accept all major credit cards, plus flexible financing through CareCredit and Alphaeon.
Credit Cards
We accept all major credit cards for co-pays, deductibles, and out-of-pocket costs.
CareCredit
Apply for a new CareCredit card, or manage and pay an existing account.
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Questions About Your Visit?
Our team is happy to help you find the right form, understand what to expect, or get you scheduled for your next appointment.