• Practice Forms Library

  • As a practice executive, you recognize that having the right type of form at the right time is critical to successful practice administration. The Practice Forms Library is a collection of ophthalmic medical practice forms supplied and shared by your colleagues, AAOE members.

    Whether it’s patient registration, financial policy, confidentiality agreement, collection notice, triage screening, exam forms, emergency contact information, performance review, or medical history questionnaire, the resource is now in one convenient place – the AAOE Practice Forms Library.

    Your support and participation exemplify the AAOE Values:

    • Connect: Professionals helping professionals 
    • Grow: Comprehensive tools for personal, professional and practice growth 
    • Lead: Creating ophthalmic leaders today 

    NOTE:The Practice Forms Library is member benefit for all AAOE membership categories [login required].

    Index

    Contributors

    Practice Forms Library is an AAOE membership benefit. We encourage current and new contributors to add forms to the Forms Library on a regular basis. If you have a form that you would like included email Bernie Mair, AAOE Web Coordinator.

    Contributor Practice, Location
    Lisa A. Amarant, OCS Carty Eye Associates, Ltd
    Bryn Mawr, Pa.
    Mary Becka Practice Manager 
    Fairview Eye Center
    Cleveland, Oh.
    Staci Botter Business Office Manager
    Texas Eye Institute
    Houston, Texas
    Temah Copelovitch Administrator
    Chesen Laser Eye Center
    West Reading, Pa.
    Joan Cox Office Manager
    Collegeville Eye Physicians & Surgeons, LLC.
    Trappe, Pa.
    Sandra Dixon Curd, MBA, COE, COA, OCS Chief Operating Officer
    Professional Eye Associates
    Dalton, Ga.
    Cheryl Daugherty

    Clinic Administrator
    Northwest Eye Clinic
    Bellingham, Wash.

    Gina Deveney Practice Manager
    Burlington County Eye Physicians
    Willingboro, N.J.
    Sandy L. Dilts, MHA, COA Executive Director
    American Health Network Eye Specialists
    Kokomo, Marion and Muncie, Ind.
    Lydia Dimmer, CRA, COT, OCT-c Eye Associates Northwest, PC
    Seattle, Washington
    Linda Dixon Financial Manager
    Summit Ophthalmology, Inc.
    Akron, Ohio
    Traci Fritz, COE, OCS Practice Administrator
    Children’s Eye Care 
    Detroit, Michigan
     Lisa Gangi, COE Administrator
    Ophthalmic Consultants PA
    Sarasota, Florida
    Karyn Iuorno Office Manager
    West End Ophthalmology
    Richmond, Virginia
    Kathleen Kemp-Ryan Practice Administrator
    Winchester Eye Specialists
    Winchester, Va.
    Neil Gailmard/Kristin King Viewmont Eye Associates
    Hickory, North Carolina
    Mary Jo Scacchi-Krist Business Administrator
    Eye Consultants of Northern Virginia, P.C.
    Springfield, Va.
    Nancy LaVergne, CPC, OCS Insurance and Billing Director
    Jackson Eye Associates, PLLC.
    Jackson, Miss.
    Natalie Loyacano, COMT, OSA, OCS, ROUB Practice Administrator
    The VitreoRetinal Eye Center
    Covington, La / Biloxi, Miss.
    Teri Lueth Coding and Compliance
    North Bay Eye Associates
    Santa Rosa, California
    Joanne Mansour Practice Manager
    The Virginia Retina Center
    Warrenton, Virginia
    Paula Meyer Assistant Clinic Manager
    Cataract & Laser Institute of Southern Oregon, P.C.
    Medford, Ore.
    Blanche L. Mindlin Practice Administrator
    Mindlin-Koh Center for Ophthalmic Medicine and Surgery, P.C.
    Bloomfield Hills, Mich.
    Stacey Ostby Clinic Administrator
    Cheyenne Eye Clinic
    Cheyenne, Wyoming
    Liz Parrott, COE, OCS Raleigh Ophthalmology
    Raleigh, North Carolina
    Joanne Roper Practice Administrator
    Sally Mellgren, M.D., Inc.
    Oceanside, Calif.
    Mary Jo Scacchi- Krist Business Administrator
    Eye Consultants of Northern Virginia, P.C.
    Springfield, Virginia
    Jeneen Santucci Office Manager
    Gottlieb Eye Center
    Melrose Park, Ill.
    Connie St. Clair, COE Navasota, Texas

    Terri Ullrich Office Manager
    Davenport Eye Group
    Davenport, Iowa
    Zella White Administrator
    Eye Center Associates, PA
    Eye Center Optical, Inc.
    Sulphur Springs, Texas