Neuro-Ophthalmology Associates (NOA) Optic Nerve Research Center (ONRC) Ophthalmic Plastic Associates (OPA)

Ophthalmic Plastic Associates (OPA)

Patient Resources - About Your Visit

Please read the following information. Your appointment may be rescheduled if we do not have all required information. Please plan to spend several hours for your appointment. Additional testing may need to be performed in addition to the examination.

  • Please bring all medications and eyewear.
  • Please bring records from previous physicians related to the reason for your visit.
  • If you have had a CT, MRI, or other radiology testing you MUST bring the films/CD and written reports with you to your appointment. Please note that the written reports alone are not enough! Our doctors personally review all imaging studies. It is very important to bring the films or CDs or we may need to reschedule until we have the films.
  • If you have had any blood work related to the reason for your visit, please bring the results with you to your appointment.
  • Bring the name, address, and fax number of any physicians or individuals to whom you would like a report of your visit sent.
  • Please complete the medical history form BEFORE YOUR VISIT and bring the completed form with you to the appointment.
  • We participate with most major insurance plans but insurance participation may vary based upon the office location. It is the patient’s responsibility to confirm insurance coverage. Bring your insurance cards and appropriate referrals if needed.
  • Payment for services not covered by insurance, including copay amounts, will be collected at the time of the visit.
  • If your condition is related to an accident or a Workman’s Compensation injury, you must contact our office PRIOR to your visit.  If we do not have appropriate prior authorization and documentation, your visit will be rescheduled.

To expedite your visit, be sure to print out the forms below and bring the completed forms with you to your appointment. If you do not bring the forms with you, it may delay your visit.

If you have any questions, please call the office at which your appointment is scheduled.

We make every effort to see patients at their scheduled time. However, because we provide all neuro-ophthalmology services for Wills Eye Hospital and Thomas Jefferson University Hospital, on occasion there may be delays because of life or sight threatening emergencies. We appreciate your patience and understanding and look forward to meeting you and participating in your care.

Patient Forms

Our forms are made available in Adobe Acrobat Reader (PDF) format. If you do not have the Adobe Acrobat Reader installed, click here for the free download.

Our forms can be printed from any computer. Individual forms may be completed electronically online and printed before closing the form or the blank form may be printed and completed manually. You will not be able to save the completed electronic form to your computer.

Patient Information Form
Notice of Privacy Practices for Patients

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