Access Patient Forms for Our Practice
Find patient forms for Carolina Eyecare Physicians here. Talk to our staff for more information about our services and related patient forms.
When you arrive, please bring:
- Insurance card
- Photo ID
- Referrals (if required by your insurance)
- Co-payments (if required by your insurance)
Patient Information
Patient Forms
- NEW PATIENT PACKET (ALL FORMS)
- PATIENT INFORMATION & MEDICAL HISTORY
- MEDICATIONS & DRUG ALLERGIES
- EMAIL COMMUNICATION OF HEALTH INFORMATION
- PATIENT ACKNOWLEDGEMENT AND AUTHORIZATION
- FINANCIAL AGREEMENT AND BENEFITS
- EXPLANATION OF COVERAGE
- SURPRISE BILLING NOTICE
- NON-DISCRIMINATION & INTERPRETER SERVICES
- PRIVACY PRACTICES
- MEDICL RECORD RELEASE FORM
Dr. Kerry Solomon
Cataract & LASIK Procedure Instructions
Locations
We have several convenient locations throughout South Carolina. Please view the nearest location to you or get directions below.
Our Services
News
Diabetic Retinopathy: Symptoms, Screening and Treatment Explained by Dr. King
Diabetic RetinopathyReviewed By: Dr.Lowrey P. King, MD When you have diabetes, you already have plenty to manage. An eye appointment may not feel urgent, especially when you can still read, drive, and see clearly. But clear vision does not always mean your retina is healthy. Diabetes can damage the blood vessels inside your eyes before you […]
Read More… from Diabetic Retinopathy: Symptoms, Screening and Treatment Explained by Dr. King
What Diabetic Retinopathy Looks Like Before You Notice Any Symptoms
Diabetic RetinopathyReviewed By: Dr. Jonathan Brugger Diabetic retinopathy can begin quietly. The retina may already be changing even when your vision seems normal. Knowing the diabetic retinopathy early signs means understanding that the first warning may not be something you can see or feel. This matters because diabetes can damage the small blood vessels that supply […]
Read More… from What Diabetic Retinopathy Looks Like Before You Notice Any Symptoms
Cataract Surgery Lens Options: Which IOL Is Right for You?
Cataract SurgeryReviewed By: Dr. Peter B. Knowlton Summary Cataract eye surgery replaces the eye’s cloudy natural lens with an artificial intraocular lens, or IOL. Available options include monofocal lenses, toric correction for astigmatism, multifocal or trifocal lenses, extended depth-of-focus lenses, and the Light Adjustable Lens. The right choice depends on your eye health, visual priorities, comfort […]
Read More… from Cataract Surgery Lens Options: Which IOL Is Right for You?
Diabetic Retinopathy: Symptoms, Screening and Treatment Explained by Dr. King
Reviewed By: Dr.Lowrey P. King, MD When you have diabetes, you already have plenty to manage. An eye appointment may not feel urgent, especially when you can still read, drive, and see clearly. But clear vision does not always mean your retina is healthy. Diabetes can damage the blood vessels inside your eyes before you […]
Read More… from Diabetic Retinopathy: Symptoms, Screening and Treatment Explained by Dr. King
What Diabetic Retinopathy Looks Like Before You Notice Any Symptoms
Reviewed By: Dr. Jonathan Brugger Diabetic retinopathy can begin quietly. The retina may already be changing even when your vision seems normal. Knowing the diabetic retinopathy early signs means understanding that the first warning may not be something you can see or feel. This matters because diabetes can damage the small blood vessels that supply […]
Read More… from What Diabetic Retinopathy Looks Like Before You Notice Any Symptoms
Cataract Surgery Lens Options: Which IOL Is Right for You?
Reviewed By: Dr. Peter B. Knowlton Summary Cataract eye surgery replaces the eye’s cloudy natural lens with an artificial intraocular lens, or IOL. Available options include monofocal lenses, toric correction for astigmatism, multifocal or trifocal lenses, extended depth-of-focus lenses, and the Light Adjustable Lens. The right choice depends on your eye health, visual priorities, comfort […]
Read More… from Cataract Surgery Lens Options: Which IOL Is Right for You?


We are a proud partner of US Eye, a leading group of patient-centric, vertically integrated multi-specialty physician practices providing patients with care in ophthalmology, optometry, dermatology, audiology, and cosmetic facial surgery.

