San Jose Eye Institute

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Forms

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Patient Forms

Online Patient Registration
To better serve our patients, we are offering our registration forms online. You may complete the forms on the computer or by hand. Please bring all the completed forms to your next appointment.

Registration Form

Health History Form

General Notice Form

Dilation Consent Form

Communication Preference Form

Patient Education

  • Cataract Surgery
  • Refractive Surgery
  • Pterygium Surgery
  • Glaucoma
  • Dry Eye Syndrome

Testimonials

Thankful!

Dr Yang is thorough, clear, to the point, and very professional. He walked me through the entire process and clearly… Read more “Thankful!”

Sai G.
December 15, 2020

100% better!

Before the cataract surgery, the eye was blurry and seeing out of it was difficult. The surgery was easy and… Read more “100% better!”

Brett W.
March 4, 2019

Amazing!

My cataract surgery experience was amazing! Dr. George Yang did a fantastic job and I can see quite well out… Read more “Amazing!”

Aditya V.
January 28, 2019

Copyright © 2021 San Jose Eye Institute · 123 Di Salvo Ave., Ste. 20, San Jose, CA 95128 · Phone: (408) 279-4664 | Fax: (408) 279-0464