LASIK Eye Surgery Pre-Operative Consent Form
About this free form template

LASIK Surgery Consent Made Simple with Paperform

If you're an ophthalmology practice offering LASIK or refractive eye surgery, you know that thorough informed consent isn't optional—it's essential for both patient safety and legal compliance. This LASIK Eye Surgery Pre-Operative Consent Form template gives you a professional, comprehensive starting point that covers vision correction expectations, surgical risks, alternative treatment options, HIPAA authorization, and financial agreements—all in one streamlined experience.

Why Use This Template?

LASIK consent forms need to walk a fine line: they must be legally thorough without overwhelming anxious patients. This template is designed specifically for ophthalmology and refractive surgery practices that want to:

  • Ensure informed consent with clear explanations of risks, benefits, and alternatives
  • Set realistic expectations about vision outcomes and potential complications
  • Capture medical history relevant to surgical candidacy
  • Obtain HIPAA authorization and financial agreement in the same workflow
  • Create a professional patient experience that reflects the quality of your surgical care

Built on Paperform's intuitive platform, this template can be customized to match your practice's brand, integrated with your existing systems, and updated as protocols change—no developer required.

Perfect for Ophthalmology and Eye Care Practices

Whether you're a dedicated LASIK center, a comprehensive ophthalmology practice, or part of a larger vision correction network, this form template helps you:

  • Collect complete patient information and medical history before the consultation
  • Educate patients about the LASIK procedure, realistic outcomes, and potential risks
  • Document acknowledgment of alternative treatments like PRK, SMILE, or corrective lenses
  • Obtain legally compliant consent and HIPAA authorization
  • Capture financial agreement details for out-of-pocket procedures

Automate Your Pre-Operative Workflow with Stepper

Once a patient submits their consent form, you can use Stepper to automatically trigger your pre-operative workflow. Send confirmation emails, create patient records in your practice management system, schedule pre-op appointments, route paperwork for physician review, and trigger billing processes—all without manual data entry. Stepper keeps your surgical workflow running smoothly while maintaining the audit trail you need for compliance.

Secure, Compliant, and Professional

While Paperform is not HIPAA compliant, it offers SOC 2 Type II certification, GDPR compliance, and robust security features suitable for collecting consent and contact information. For practices that need HIPAA compliance for handling protected health information, we recommend using Paperform for initial screening and consent collection, then transferring sensitive medical data to your HIPAA-compliant EHR or practice management system via secure integrations.

This LASIK consent template is trusted by vision correction centers who need professional forms that work as hard as their surgical teams. Customize the template to match your practice's specific protocols, add your branding, and start providing a better pre-operative experience today.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.