Glaucoma & Cataract Consultation



Similar documents
Welcome to our Office!

PREPARING YOUR APPOINTMENT JULES STEIN EYE INSTITUTE FOR AT THE. Please review this brochure before arriving for your appointment

CRIMINAL JUSTICE AGENCIES

Michigan Department of Licensing & Regulatory Affairs Bureau of Health Care Services Health Facilities Division

The Eye Care Center of New Jersey 108 Broughton Avenue Bloomfield, NJ 07003

Ambulatory Surgery Centers

BASCOM PALMER EYE INSTITUTE

LIST OF MICHIGAN BOARD OF OPTOMETRY APPROVED PROGRAMS FOR 2003

Accredited Program Details

THE EYE INSTITUTE. Dear Patient:

Bascom Palmer Eye Institute

2015 LIST OF MICHIGAN BOARD OF OPTOMETRY APPROVED PROGRAMS

THE EYE INSTITUTE. Eye Associates of Wayne P.A. 968 Hamburg Turnpike Wayne, NJ p f

Oregon Eye Specialists, PC YOUR GUIDE CATARACT SURGERY. Improving VISION. Improving LIFE.

Kerry Allen M.D. Affiliated with Mercy Willard Hospital. Michael Abowd M.D. Affiliated with Mercy St Anne Hospital Mercy St Vincent Medical Center

Anil K. Gupta, M.D. and Gupta ENT Center West Pediatric and Adult Otolaryngology

Vision Correction Surgery Guide

MedStar Georgetown University Hospital/ MedStar Washington Hospital Center Residency Program in Ophthalmology Welcome to our Program

MEDICAL STAFF DIRECTORY

VISION PATTERN. What Can you Expect from the ReSTOR procedure?

GERARD MICHAEL NOLAN, M.D., F.A.C.S.

LOUIS J. GELLER, DPM, FACFAS, CWS, FAPWCA, FAAPPM lgeller123gmail.com

BSM Connection elearning Course

LASER CATARACT SURGERY

Glenn B. Cook, M.D., Ph.D. DIPLOMATE AMERICAN BOARD OF OPHTHALMOLOGY Coronado Eye Associates

HUD APPROVED COUNSELING AGENCIES

Your appointment is scheduled for at with Dr. Your arrival time is.

LASIK LASIK and Other Refractive Surgeries at the U-M Kellogg Eye Center

Call today at

Laser Vision Correction. Information from the Cole Eye Institute

VISION FOR YOUR LIFE

INFORMATION REGARDING DILATING EYE DROPS

Milwaukee. *Milwaukee Magazine Top Doc Richard Cattey, MD. Lyle Henry, MD, FACS. Craig Siverhus, MD. Bariatric Surgery. Craig Siverhus, MD

Ross Medical Education Center - Ann Arbor (Institutional) Ross Medical Education Center - Brighton (Institutional)

Bascom Palmer Eye Institute. LASIK and Your Vision Correction

54 Old Highway 22 Clinton, NJ (908) fax (908)

P.S. Please remember to bring your completed forms to your office visit!

Medical Expertise Personal Attention Compassionate Care

19235 N Cave Creek Rd #104 Phoenix, AZ Phone: (602) Fax: (602)

COMPREHENSIVE VISION BENEFITS SCHEDULE OF COVERAGE C. A. D. A. Group Health Plan

Michigan Licensed Debt Management Firms

Refractive errors are caused by an imperfectly shaped eyeball, cornea or lens, and are of three basic types:

HOUSING. State of Michigan HOME BUYING ASSISTANCE HOUSING AUTHORITIES. Wayne County

NATASHA L. HERZ, MD 4701 RANDOLPH RD, G- 2 ROCKVILLE, MD PHONE (301)

MEDICAL STAFF DIRECTORY

ESTABLISHMENT OF THE BETA ALPHA PSI ENDOWED SCHOLARSHIP

Financial Handbook For Liver Transplant Patients

RETINA CARE CENTER, P.C. PATIENT INFORMATION

LOUIS J. GELLER, DPM, FACFAS, FASPS, CWS, FAPWCA lgeller123gmail.com

Curriculum Vitae. Nancy L. Schmitt, PhD, RN

Cataract Surgical Packages

LASER VISION C ORRECTION REFRACTIVE SURGERY CENTER

CATARACT SURGERY. Date of Surgery QHC# 63

SPECIALTY: Plastic and Reconstructive Surgery. Harvard College, A.B., 1959 University of Colorado School of Medicine, M.D., 1963

CURRICULUM VITAE Richard M. Rankl MD, MS, FAAFP

EYE CARE. Surgery Co-Management Guide CHESTER COUNTY

Department of Ophthalmology

California Eye Specialists Medical Group Inc.

Laser Vision SA A trusted name in vision restoration. Blade Free Intralase Vision Correction Enhance your potential in just one day

CORONADO EYE ASSOCIATES GLENN B. COOK, M.D., PhD 801 ORANGE AVENUE, STE CORONADO, CA FAX

01/2-3-%,#4"&5-3"2#6-&"3.(&/ Pennock. HealthServices !"#$%&"#'(&## )*&#$(++*,-./

MICHAEL C. WEISS, D.O., FAOAO

EXCELLUS BLUECROSS BLUESHIELD MEDICAL DIRECTORS

Timothy D. McGarity, M.D.

Curriculum Vitae. Irwin Y. Cua, M.D. Present Positions:

DIRECTIONS TO UM REHAB ENGINEERING

New England Orthopedic Specialists is the premier orthopedic care center north of Boston.

Mark A. Hackel One South Main, 8 th Floor Mt. Clemens, MI (586)

Michigan Higher Education Dark Fiber Acquisition Project

Guide to Eye Surgery and Eye-related Claims

FREEDOM FROM GLASSES OR CONTACT LENSES FOR LIFE

Cataracts. Cataract and Primary Eye Care Service Main Number Physician Referral AT-WILLS

Patient Information Cataract surgery

Vision Glossary of Terms

1975 M.D. University of Maryland School of Medicine, Baltimore, Maryland Internship, University of Michigan Medical Center, Ann Arbor, MI

Please allow us to welcome you to our practice. Our first priority is to provide you with the best care possible.

Loyola College Baltimore, Maryland Bachelor of Science - Pre Medical

UAB Callahan Eye Hospital PATIENT & VISITOR GUIDE

Letter of Recommendation: Required two references names and contact info. * Only accepts NACAC fee waiver during CAW

Since the mid 1990s, ReVision LASIK and Cataract Surgery Center has helped individuals from the Midwest and around the world enjoy great vision with

bringing life into focus Laser Cataract Surgery and Lens Implants

Transcription:

A Patient s Guide to: & Cataract Consultation

Welcome Southfield Office... You have been ENTRANCE referred a OFF glaucoma or TELEGRAPH cataract consultation because you may have a problem with eyes GCMthat requires special knowledge, testing treatment. T brochure answers questions about WENDY S AVIS WATER Michigan FORD ENTRANCE TANK what OFF 12 MILE you can expect RETAIL during visit. CENTER If you have additional questions, 12 MILE RD. please call us at (248) 356-0098. TEL-TWELVE The Michigan MALL (GCM) is the first only facility in Michigan dedicated exclusively to the evaluation treatment glaucoma cataracts. We have over 50 years experience in providing the highest quality care complex glaucoma cataract problems. Dearborn Office How long should consultation last? The average consultation EASTPOINTE requires BLDG 2 to 3 hours. If special testing or scheduling surgery is required, you can expect to spend up to one hour GARRISON additionally at our facility. We make every eft to follow closely to our WESTBORN CHRYSLER-PLYMOUTH patients' scheduled times. Theree, we ask that you arrive (From Southfield by Rd.) (From Telegraph) MICHIGAN AVENUE scheduled appointment time, call us if you will be unusually delayed. OUTER DRIVE GARRISON PLACE WEST GARRISON PLACE EAST STRUCTURE TELEGRAPH RD. GCM HANDICAP AREA What if you need to reschedule appointment? LANSING 275 FROM ANN ARBOR ORCHARD LAKE MERRIMAN NW HWY TELEGRAPH SQUARE LAKE RD MAPLE For the convenience our other patients, we would appreciate 24-hours notice cancellation. We generally can reschedule appointment within a few days. 12 MILE 8 MILE What can you expect during visit? 14 96 12 153 MICHIGAN 24 24 OUTER DR. MONROE TOLEDO 39 JOHN LODGE You will first be asked to complete several ms providing us basic inmation about you, eyes, any medical problems, insurance coverage. In addition to the name the eye doctor who referred you to us, we would like the name, address phone number family or general medical doctor. Our staff will assist you in completing the ms if necessary. When registration has been completed, you will be directed from our reception area to our examination area. One our ophthalmic technicians will review the reason consultation take some preliminary measurements eyes eyesight. Then you will see the doctor, who will evaluate SOUTHFIELD SCHOENHERR RD 12 39 WOODWARD 12 M 97

Where is GCM located? eyes. Following that, you will have a visual field test which checks peripheral vision. The technicians Michigan now may has three instill convenient eye drops fices. to dilate Our pupils. flagship Dilation Southfield the fice pupils is located is in usually the Comerica necessary Building in order near the to northwest completely corner examine Telegraph eyes. Road It takes West about Twelve 20 to Mile 30 Road, minutes just north the pupils Northwestern to fully dilate Highway/I-96 after the drops interchange. have been It is given. accessible from either Twelve Mile or Telegraph Road. Hicap When ramps pupils are ample fully parking dilated, are you available. will again Inside, be elevators examined take by the you to doctor. our third Do floor not suite. hesitate After to ask exiting the questions elevator, turn about right eye proceed condition or its directly treatment. into our Depending fice. upon the nature problem, additional tests Our will fice be permed to serve Eastside the same patients day as is located consultation. on the south A side complete Twelve report Mile, just east consultation Little Mack any test approximately results are sent 1/4 mile to both east I- eye doctor in the St. John general medical doctor. complex. After entering through the West entrance doors, GCM is the first fice on the right. Ample free parking is also available. Our Dearborn location serves the Western Wayne Downriver areas. It is in the 3rd large building (called Eastpointe) on Garrison which leads f Outer Dr. It is just north Michigan Ave. approx. 1/2 mile east Telegraph. Hicap parking is Will directly you across be from able the to building drive entrance. after There eyes is ample are parking in dilated? front (east) the building in the multi-level parking structure west the Dilating building. Enter pupils the building with eye drops our does fice cause is temporary conveniently blurring located just vision to the right increased Suite light 102. sensitivity. You may be more comtable having someone accompany you to the fice so that he or she can drive you home. The major effect the eye drops P/U generally wears f after 3-4 hours in most people. We suggest you bring sunglasses. Southfield Office What types insurance are accepted? We participate in most medical plans, including Blue P/U Cross Blue Shield Medicare. Our patient account representatives will process the appropriate insurance ms you. If you have an HMO Insurance, Eastside Office it is responsibility to bring the necessary authorization m from PCP s (Primary Care Physician) fice to appointment. Dearborn Office

MATTHEW LES I. SIEGEL, E. CITRON, M.D., F.A.C.S. D.O. MATTHEW E. CITRON, D.O., F.A.C.S. Dr. Matthew Les Matthew I. Siegel, E. Citron, E. M.D., Citron, D.O. founder is is an an ophthalmologist the who specializes Michigan, in the is an consultation ophthalmologist treatment specializing glaucoma in the consultation cataracts. treatment glaucoma long time Detroit cataracts. area resident, A long time Detroit area resident, Dr. Citron received B.A. in History Dr. Born Citron in received Detroit, Dr. a B.A. Siegel in History at at University Michigan. He then University attended Michigan Michigan. State He University then achieved achieved Doctor Osteopathic where Doctor he graduated Osteopathic with Medicine High Medicine degree from Michigan degree Honors from while Michigan receiving State University Bachelor State University s College with Science Osteopathic the honor in Physiology. Medicine. most outsting He then Dr. Citron surgical completed attended extern. the Wayne internship Dr. Citron State in completed University internal internship medicine School through in Medicine internal MSU medicine where while he serving through MSU at received Botsd while serving General M.D. with at Hospital Botsd Honors. in Hospital. Farmington Following He completed Hills, that, he Michigan. served internship as Co-Chief at Resident William Following Beaumont Ophthalmology that, he Hospital served through as in Royal MSU at Co-Chief Oak, the Detroit ophthalmology Resident Osteopathic in residency Ophthalmology at Consortium through the Kresge MSU in at Detroit, Institute the Detroit Michigan. Wayne He then went Osteopathic State on University to serve Ophthalmology as where the Clinical he served as Fellow Consortium chief resident at the in Wayne Detroit, State glaucoma Michigan. University s Kresge He fellowship then went at Institute on the to Washington serve Detroit, a Clinical Michigan. University Dr. Citron Fellow School is an at Assistant the Medicine Wayne Pressor State Barnes University s Ophthalmology Hospital Kresge in at St. Michigan Louis, Institute Missouri. State in Detroit, University, Michigan. Oakl University Wm. Dr. Siegel is on the medical staff at Beaumont William Dr. Citron School Beaumont is an Associate Medicine Hospital Pressor an in Royal Oak, Ophthalmology instructor at Michigan Michigan at the State Beaumont affiliated University, with Institute. St. John Prior Oakl Hospital, to joining University Detroit Wm. Medical Beaumont Michigan, School (DMC), he was Medicine Straith at the Wayne an Hospital State instructor Special University s glaucoma. Kresge He is at the on Institute Beaumont the teaching as an faculty Assistant Institute. at those Pressor Prior to medical joining Ophthalmology centers as well as an Local Assistant Residency Michigan, Clinical Program he was Pressor Director with the at Wayne State University s Kresge Ophthalmology Sinai-Grace Hospital. Institute as an Assistant at Wayne Pressor State University, Ophthalmology He is currently Michigan on Local staff State at Residency University William at Program Beaumont Oakl Director Hospital University in in the Wm. Royal Sinai-Grace Beaumont Oak, School Hospital facility. Medicine. Michigan, St. John Hospital, Board He is currently Certified the Detroit on by staff Medical the at American William (DMC), Board Beaumont Botsd Hospital, Ophthalmology, in Providence Royal Oak, Dr. Siegel Hospital, has a Straith pressional Hospital affiliation Michigan Special with affiliated. the with St. John Hospital, as well as holding privileges at American Academy Ophthalmology, various Dr. Citron Detroit has Medical pressional (DMC) affiliations American Society, the locations, with the American Botsd in Academy Farmington Hills, Association Straith Hospital Research Special. in Vision, Michigan Ophthalmology, Ophthalmology American Society, the Dr. Citron has pressional affiliations American Society, American Medical College Association, Osteopathic both with the American Academy the Ophthalmology, Michigan State American Oakl College County Ophthalmology, American Medical Surgeons, Society, American Societies. American College In Society addition Osteopathic he Cataract is a & Fellow Refractive Ophthalmology, the, American American American College Osteopathic Society Surgeons Association, Cataract &(F.A.C.S.). American Medical Association Refractive, American both the Michigan State Oakl Osteopathic Dr. Siegel Association, has made numerous American Medical presentations Association County Medical both Societies written the Michigan as well various State as being a publications Fellow Oakl the County American on the diagnosis, Medical College Society. treatment Surgeons (F.A.C.S.). Dr. surgical Citron has procedures an extensive pertaining list to glaucoma presentations Dr. Citron has cataract an published extensive related abstracts list subjects. He including presentations has a particular advancements published interest the in abstracts combined cataract subspecialties including surgery advancements with glaucoma glaucoma in the subspecialties cataract laser surgical procedures. procedures glaucoma (ECP) cataract as well surgical as incorporating procedures. the newest lens implant technology patients.

MARC J. SIEGEL, M.D., F.A.C.S. Marc J. Siegel, M.D. is an ophthalmologist who specializes in the consultation treatment glaucoma cataracts. A native Detroiter, Dr. Siegel received both Bachelor Science M.D. from the University Michigan with High Honors. He completed a general surgery internship in Boston at Tufts New Engl Medical. He served residency in ophthalmology at Mt. Sinai Medical in New York. Dr. Siegel then served as chief resident completed glaucoma fellowship training at Mt. Sinai as well. He received the Heed Foundation Fight Sight Fellowship Awards in. Currently, Dr. Siegel holds privileges at William Beaumont Hospital in Royal Oak, Michigan affiliated with St. John Hospital, Detroit Medical (DMC), Straith Hospital Special. He is also an Assistant Clinical Pressor Ophthalmology at Wayne State University, Michigan State University Oakl University Wm. Beaumont School Medicine. Board Certified by the American Board Ophthalmology, he includes the American Academy Ophthalmology, the Association Research in Vision, the Michigan Ophthalmology Society, the American Medical Association both the Michigan State Oakl County Medical Societies on growing list pressional affiliations. In addition, he is a Fellow the American College Surgeons (F.A.C.S.). Dr. Marc Siegel has had multiple scientific publications presentations on topics relating to glaucoma diagnosis management. He has a particular interest in complex glaucoma cataract surgical problems as well as new, innovative astigmatic accommodating implants cataract surgery.

MATTHEW LES I. SIEGEL, E. CITRON, M.D., F.A.C.S. D.O. MATTHEW E. CITRON, D.O., F.A.C.S. Dr. Matthew Les Matthew I. Siegel, E. Citron, E. M.D., Citron, D.O. founder is is an an ophthalmologist the who specializes Michigan, in the is an consultation ophthalmologist treatment specializing glaucoma in the consultation cataracts. treatment glaucoma long time Detroit cataracts. area resident, A long time Detroit area resident, Dr. Born Citron in received Detroit, Dr. B.A. Siegel in History Dr. Citron received a B.A. in History at at attended University Michigan Michigan. State University He then University Michigan. He then achieved achieved where he graduated Doctor with Osteopathic Doctor Osteopathic Medicine High Medicine degree from Michigan degree Honors from while Michigan receiving State University Bachelor State University s College with Science in Physiology. He then Osteopathic the honor Medicine. most outsting Dr. Citron surgical completed attended extern. the Wayne internship Dr. Citron State in completed University internal internship medicine School through in Medicine internal MSU medicine where while he serving through MSU at received Botsd while serving General M.D. with at Hospital Botsd Honors. in Hospital. Farmington Following He completed Hills, that, he Michigan. served internship as Co-Chief at Resident William Following Beaumont Ophthalmology that, he Hospital served through as in Royal MSU at Co-Chief Oak, the Detroit ophthalmology Resident Osteopathic in residency Ophthalmology at Consortium through the Kresge MSU in at Detroit, Institute the Detroit Michigan. Wayne He then went Osteopathic State on University to serve Ophthalmology as where the Clinical he served as Fellow Consortium chief resident at the in Wayne Detroit, State glaucoma Michigan. University s Kresge He fellowship then went at Institute on the to Washington serve Detroit, a Clinical Michigan. University Dr. Citron Fellow School is an at Assistant the Medicine Wayne Pressor State Barnes University s Ophthalmology Hospital Kresge in at St. Michigan Louis, Institute Missouri. State in Detroit, University, Michigan. Oakl University Wm. Dr. Siegel is on the medical staff at Beaumont Dr. Citron School is an Associate Medicine Pressor an William Beaumont Hospital in Royal Oak, Ophthalmology instructor at Michigan Michigan at the State Beaumont affiliated University, Oakl University Wm. with Institute. St. John Prior Hospital, to joining Detroit Medical Beaumont School Medicine an Michigan, (DMC), he was Straith at the Wayne Hospital State instructor glaucoma at the Beaumont Special University s Institute.. Kresge Prior He to is joining on Institute the teaching as an faculty Assistant at those Pressor Michigan, medical Ophthalmology he was centers with as the well as an Local Wayne Assistant Residency State Clinical Program University s Pressor Director Kresge at Ophthalmology Sinai-Grace Hospital. Institute as an Assistant at Wayne Pressor State University, Ophthalmology He is currently Michigan on Local staff State at Residency University William at Program Beaumont Oakl Director Hospital University in in the Wm. Royal Sinai-Grace Beaumont Oak, School Hospital facility. Medicine. Michigan, St. John Hospital, Board He is currently Certified the Detroit on by staff Medical the at American William (DMC), Board Beaumont Botsd Hospital, Ophthalmology, in Providence Royal Oak, Dr. Siegel Hospital, has a Straith pressional Hospital affiliation Michigan Special with affiliated. the with St. John Hospital, as well as holding privileges at American Academy Ophthalmology, various Dr. Citron Detroit has Medical pressional (DMC) affiliations American Society, the locations, with the American Botsd in Academy Farmington Hills, Association Straith Ophthalmology, Hospital Research American Special. in Vision, Michigan Ophthalmology Society, the Society, Dr. Citron American has pressional College affiliations American Medical Association, Osteopathic both with Ophthalmology, the American American Academy College the Michigan State Oakl County Ophthalmology, Surgeons, American American Society Medical Cataract & Society, Refractive American Societies., College In addition American Osteopathic he is a Fellow Osteopathic Ophthalmology, the American American College Society Surgeons Association, American Medical Association Cataract &(F.A.C.S.). Refractive, American both the Michigan State Oakl Osteopathic Association, American Medical Association County Dr. Siegel Medical has both Societies made numerous the Michigan as well State as being a presentations Fellow Oakl the County American written Medical College various Society. publications on the diagnosis, treatment Surgeons (F.A.C.S.). Dr. surgical Citron has procedures an extensive pertaining list to glaucoma presentations Dr. Citron has cataract an published extensive related abstracts list subjects. He including presentations has a particular advancements published interest the in abstracts combined cataract subspecialties including surgery advancements with glaucoma glaucoma in the subspecialties cataract laser surgical procedures. procedures glaucoma (ECP) cataract as well surgical as incorporating procedures. the newest lens implant technology patients.

Where is GCM located? eyes. Following that, you will have a visual field test which checks peripheral vision. The technicians Michigan now may has three instill convenient eye drops fices. to dilate Our pupils. flagship Dilation Southfield the fice pupils is located is in usually the Comerica necessary Building in order near the to northwest completely corner examine Telegraph eyes. Road It takes West about Twelve 20 to Mile 30 Road, minutes just north the pupils Northwestern to fully dilate Highway/I-96 after the drops interchange. have been It is given. accessible from either Twelve Mile or Telegraph Road. Hicap When ramps pupils are ample fully parking dilated, are you available. will again Inside, be elevators examined take by the you to doctor. our third Do floor not suite. hesitate After to ask exiting the questions elevator, turn about right eye proceed condition or its directly treatment. into our Depending fice. upon the nature problem, additional tests Our will fice be permed to serve Eastside the same patients day as is located consultation. on the south A side complete Twelve report Mile, just east consultation Little Mack any test approximately results are sent 1/4 mile to both east I- eye doctor in the St. John general medical doctor. complex. After entering through the West entrance doors, GCM is the first fice on the right. Ample free parking is also available. Our Dearborn location serves the Western Wayne Downriver areas. It is in the 3rd large building (called Eastpointe) on Garrison which leads f Outer Dr. It is just north Michigan Ave. approx. 1/2 mile east Telegraph. Hicap parking Will you be able to drive is directly across from the building entrance. after There eyes is ample are parking in front (east) the building in the dilated? multi-level parking structure west the Dilating building. Enter pupils the building with eye drops our does fice cause is temporary conveniently blurring located just vision to the right increased Suite light 102. sensitivity. You may be more comtable having someone accompany you to the fice so that he or she can drive you home. The major effect the eye drops P/U generally wears f after 3-4 hours in most people. We suggest you bring sunglasses. Southfield Office What types insurance are accepted? We participate in most medical plans, including Blue P/U Cross Blue Shield Medicare. Our patient account representatives will process the appropriate insurance ms you. If you have an HMO Insurance, Eastside Office it is responsibility to bring the necessary authorization m from PCP s (Primary Care Physician) fice to appointment. Dearborn Office

Welcome... Southfield Office You have ENTRANCE been referred a OFF glaucoma or cataract consultation TELEGRAPH because you may have a problem with GCM eyes that requires special knowledge, testing treatment. T brochure answers questions about WENDY S Michigan AVIS WATER FORD TANK what you can expect during visit. RETAIL CENTER If you have additional questions, please call 12 MILE us RD. at (248) 356-0098. ENTRANCE OFF 12 MILE The TEL-TWELVE Michigan MALL (GCM) is the first only facility in Michigan dedicated exclusively to the evaluation treatment glaucoma cataracts. We have over 50 years experience in providing the highest quality care complex glaucoma cataract problems. How long should consultation last? Dearborn Office The average GARRISON consultation requires PLACE EAST STRUCTURE GCM EASTPOINTE 2 to 3 hours. If special BLDGtesting or scheduling surgery is required, you can expect to spend up to one hour additionally GARRISON at our facility. We make every eft to follow closely to our patients' WESTBORN scheduled times. Theree, CHRYSLER-PLYMOUTH we ask that you arrive by scheduled appointment (From Southfield Rd.) time, call MICHIGAN AVENUE us if you will be unusually delayed. OUTER DRIVE GARRISON PLACE WEST (From Telegraph) TELEGRAPH RD. HANDICAP AREA What if you need to reschedule appointment? 14 LANSING 275 FROM ANN ARBOR 12 ORCHARD LAKE MERRIMAN NW HWY 153 MICHIGAN TELEGRAPH 24 24 SQUARE LAKE RD MAPLE For the convenience our other patients, we would appreciate 24-hours notice cancellation. We generally can reschedule appointment within a few days. 12 MILE 8 MILE What can you expect during visit? 96 OUTER DR. MONROE TOLEDO 39 JOHN LODGE You will first be asked to complete several ms providing us basic inmation about you, eyes, any medical problems, insurance coverage. In addition to the name the eye doctor who referred you to us, we would like the name, address phone number family or general medical doctor. Our staff will assist you in completing the ms if necessary. When registration has been completed, you will be directed from our reception area to our examination area. One our ophthalmic technicians will review the reason consultation take some preliminary measurements eyes eyesight. Then you will see the doctor, who will evaluate SOUTHFIELD SCHOENHERR RD 12 39 WOODWARD FLINT, SAGINAW 10 75 75 15 MILE 102 JEFFERSON GROESBECK HWY VAN DYKE GRATIOT AVE 12 MILE GRATIOT KELLY MACK JEFFERSON MT. CLEMENS PORT HURON LITTLE MACK VERNIER MOROSS HARPER Eastside Office 13 MILE RD 13 MILE RD 12 MILE RD 12 MILE RD 97 97 3 10 MILE RD 10 MILE RD 3 LITTLE MACK GCM HARPER AVE AVE JEFFERSON

What should you bring with you visit? eyeglasses. a list medications that you take (including eye drops). the name address referring eye doctor. the name, address phone number general medical or family doctor. inmation on insurance coverage or HMO/PPO referral ms. someone to drive you home after appointment. Remember, appointment will last 2 to 3 hours. Patient Name: Referred by: Your appointment is: Date: Day: Time: If unable to keep appointment, please give us 24 hour notice. WESTSIDE Comerica Building 29201 Telegraph Road, Suite 301 Southfield, MI 48034 (248) 356-0098 EASTSIDE St. John 21000 Twelve Mile, Suite 108 St. Clair Shores, MI 48081 (586) 445-1170 WESTERN WAYNE & DOWNRIVER Eastpointe Building 19853 W. Outer Drive, Suite 102 Dearborn, MI 48124 (313) 561-4070 Fax: (248) 356-0424 www.glaucomacenter.com appointments@glaucomacenter.com iop@glaucomacenter.com 1998 Michigan, REV. 1008