Your Visit

Once you arrive at the offices of Milan Eye Center, you will be greeted by a member of our check-in staff who will ask you to fill out a patient questionnaire or you may fill out the necessary forms below and bring them with you. If you are a returning patient, we will be asking you to update our records with any changes in address, phone number, or insurance coverage. This is important as we strive to keep our files as current as possible. You will also be asked to provide us with your insurance ID cards, as we keep copies of these as part of your chart.

Patient Forms

To save time during your appointment, you may fill out the following forms by printing and filling out by hand or you can fill out on your computer and then print. Please bring them with you on your first visit to Milan Eye Center.

• Patient History Form
• Notice of Privacy Practices Form

Referring Doctors

Thank you for choosing Milan Eye Center for your patient.

Milan R. Patel, M.D. is committed to providing advanced medical and surgical expertise, while working in partnership with you to ensure continuity of care, and the best possible outcome for your patient.

Dr. Patel is a dedicated skilled professional who uses advanced surgical techniques, while caring for your patient with kindness. He offers state-of-the-art care in the following subspecialty areas of ophthalmology:

• anterior segment reconstruction
• cataract surgery
• comprehensive ophthalmology
• corneal transplant surgery
• glaucoma
• refractive surgery

• Referral Form

Please Note: These documents are in Adobe® PDF format. If you do not have a copy of Acrobat Reader you can get one for free by clicking on the icon ‘Get Adobe® Reader. This will take you to Adobe’s website and enable you to download the Acrobat program to your computer.