Patient Forms

 

First Visit

Before your appointment, please download and complete the New Patient Paperwork and bring it with you to your visit.  

Online New Patient Paperwork
Download New Patient Paperwork


Or fill out the online form below:

Please bring with you on your first visit:

  • Copy of your insurance card(s)
  • Driver’s License or Government ID 
  • New Patient Paperwork 

** Please Note: Your eyes will be dilated with eye drops so that we can examine your retina.  This will make your up-close vision blurry for 4-6 hours.

We look forward to taking care of you soon!  Please contact us if you have any questions regarding your upcoming visit. 

Our Location

2780 SW Wilshire Blvd, Burleson TX 76028 info@starretina.com 817-378-4777
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