All patient forms are in PDF Format

Please Note: The Clinic Privacy Practices are Linked Separately From the New Patient Forms

Surgery Consent Forms

General Patient Forms:

If possible, please e-mail or fax completed surgery forms to the surgery coordinator: Wendy

​

E-mail: Wendy.Berry@deereyeclinic.com

​Fax: (501) 224-1003

Office Hours:

​8:00 a.m.- 5:00 p.m. M-F

Office Phone: (501) 224-4701

Office Fax: (501) 224-1003​

Optical Line: (501) 224-4359

Office and Optical Hours:

Monday - Friday: 8am-5pm

Closed 11:30am - 12:30pm

Office Phone: (501) 224-4701

Office Fax: (501) 224-1003​

Optical Line: (501) 224-4359

 Ophthalmology Group