The Maloney-Shamie Vision Institute is an authorized FDA study center for vision correction technology.
New Patient Forms
The below questionnaire is to be submitted online prior to your appointment. Carefully preparing this form in advance will greatly increase the efficiency of your Consultation and the information it provides you.
- New Patient Questionnaire (select one)
- Financial Policy
Please review the following form. You do not need to print it. We will have a copy for you to sign in our office. If you have any questions, our staff will be happy to answer them in advance of your appointment.
If you are interested in our privacy practices, click below:
LASIK
- LASIK Preparation Guide (pdf 78 KB)
- LASIK Aftercare Instructions (pdf 131 KB)
- LASIK Aftercare Video – Dr. Hura
- LASIK Aftercare Video – Dr. Shamie
PRK
- PRK Preparation Guide (pdf 78 KB)
- PRK Aftercare Instructions (pdf 112 KB)
- PRK Aftercare Video – Dr. Hura
- PRK Aftercare Video – Dr. Shamie
Implantable Contact Lens (ICL)
- ICL Preparation Guide (pdf 122 KB)
- ICL Aftercare Instructions (pdf 109 KB)
- ICL Aftercare Video – Dr. Hura
- ICL Aftercare Video – Dr. Shamie
Refractive Lens Exchange (RLE)
Cataract Surgery
- Cataract Surgery Preparation Guide (pdf 110 KB)
- Cataract Surgery Aftercare Instructions (pdf 127 KB)
- Cataract Aftercare Video – Dr. Hura
- Cataract Aftercare Video – Dr. Shamie
Light Adjustable Lens (LAL)
- LAL Preparation Guide (pdf 131 KB)
- LAL Aftercare Instructions (pdf 136 KB)
- LAL Aftercare Video – Dr. Hura
- LAL Aftercare Video – Dr. Shamie