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)
New Patient Office Visit
Patient Forms
- NEW PATIENT PACKET (ALL FORMS)
- PATIENT INFORMATION & MEDICAL HISTORY
- MEDICATIONS & DRUG ALLERGIES
- PATIENT ACKNOWLEDGEMENT AND AUTHORIZATION
- FINANCIAL RESPONSIBILITY AND WAIVER/RELEASE
- EXPLANATION OF COVERAGE
- SURPRISE BILLING NOTICE
- NOTICE OF NON-DISCRIMINATION & INTERPRETER SERVICES
- PRIVACY PRACTICES
- MEDICAL INFORMATION 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.
See Our Google Reviews
News
7 Eye-Healthy Foods To Eat and Cook With This Fall
Diabetic Eye ExamsReviewed By: Dr. Jonathan Brugger Thanksgiving offers the perfect opportunity to celebrate loved ones by preparing nutrient-rich, eye-friendly dishes. Eye health is largely influenced by our diet, and incorporating specific foods can help guard against age-related eye diseases, such as diabetic retinopathy, cataracts, and macular degeneration. Here’s a look at some nutritious foods to boost […]
Read More… from 7 Eye-Healthy Foods To Eat and Cook With This Fall
LASIK Eye Surgery for Active Lifestyles: Breaking Free from Glasses and Contacts
LASIK, LASIK SurgeryFor people with active lifestyles, glasses, and contacts can be limiting. Corrective eyewear can get in the way, whether hiking, swimming, playing sports, or going about daily activities. Thankfully, LASIK (Laser-Assisted In Situ Keratomileusis) eye surgery offers a reliable solution that lets you enjoy life without the hassle of glasses or contact lenses. What is […]
Read More… from LASIK Eye Surgery for Active Lifestyles: Breaking Free from Glasses and Contacts
The Role of a Retina Specialist in Keeping Your Eyes Healthy
Retina ConditionsOur eyes are critical in helping us see the world clearly. However, when something goes wrong with our vision, especially the retina, it can affect our quality of life. The retina is a key part of the eye—it captures the light that helps us see and sends those signals to the brain. As with any […]
Read More… from The Role of a Retina Specialist in Keeping Your Eyes Healthy
7 Eye-Healthy Foods To Eat and Cook With This Fall
Reviewed By: Dr. Jonathan Brugger Thanksgiving offers the perfect opportunity to celebrate loved ones by preparing nutrient-rich, eye-friendly dishes. Eye health is largely influenced by our diet, and incorporating specific foods can help guard against age-related eye diseases, such as diabetic retinopathy, cataracts, and macular degeneration. Here’s a look at some nutritious foods to boost […]
Read More… from 7 Eye-Healthy Foods To Eat and Cook With This Fall
LASIK Eye Surgery for Active Lifestyles: Breaking Free from Glasses and Contacts
For people with active lifestyles, glasses, and contacts can be limiting. Corrective eyewear can get in the way, whether hiking, swimming, playing sports, or going about daily activities. Thankfully, LASIK (Laser-Assisted In Situ Keratomileusis) eye surgery offers a reliable solution that lets you enjoy life without the hassle of glasses or contact lenses. What is […]
Read More… from LASIK Eye Surgery for Active Lifestyles: Breaking Free from Glasses and Contacts
The Role of a Retina Specialist in Keeping Your Eyes Healthy
Our eyes are critical in helping us see the world clearly. However, when something goes wrong with our vision, especially the retina, it can affect our quality of life. The retina is a key part of the eye—it captures the light that helps us see and sends those signals to the brain. As with any […]
Read More… from The Role of a Retina Specialist in Keeping Your Eyes Healthy
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.