Patient Information

This page includes forms for our patients. Please use the links below or the patient portal to fill them out before your appointment. You can bring the completed documents to your appointment.

HIPAA releases are also available if you need us to send your patient file to an outside office. Please get in touch with our office if you have any questions about downloading or completing the documents below.

New Patient Confidential History Form

New Patient Letter

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University Ophthalmology Associates are pioneers and leaders in medical and surgical eye treatment in Chicago and the Chicagoland area.

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The ophthalmologists at UOA Chicago perform cataract surgery using only the latest technologies. This includes laser-assisted cataract surgery and advanced lens technologies.