PRE-OPERATIVE CONFIRMATION

To:
Patient:
DOB:
Date of Surgery:
Post-Op Appointment:
Date of Surgery:
Post-Op Appointment:

We appreciate your trust in us with your patient’s eye surgery. Please find attached my chart notes regarding my findings. This letter is to confirm we have scheduled your patient for surgery on the date listed above. Please schedule the post–operative appointment in your office, 1 week after the date of their procedure.Please schedule the post–operative appointment in your office, 10 days after the date of their procedure.We have scheduled a 1 week post-operative appointment in our office at the request of We have scheduled a 10 day post-operative appointment in our office at the request of If there are any changes to the surgery schedule, we will be sure to inform you promptly. Please do not hesitate to contact our office and speak with the surgery coordinator if you have questions regarding care coordination. Thank you again for your surgical referrals.

Yours truly,

We appreciate the trust you have placed in us for the surgical care of your patient. Please find attached chart notes with our exam findings. This letter is to confirm your patient is tentatively scheduled for (bilateral sequential cataract surgery) as listed above. The patient has chosen for us to follow them through the preoperative period. The patient will then be returned to you after they have completed their post-operative care. If there are any changes to the surgery schedule, we will be sure to inform you promptly. Please do not hesitate to contact our office to speak with a surgery coordinator if you have questions regarding care coordination.
Thank you again for your surgical referrals.

Yours truly,


BOARD-CERTIFIED OPHTHALMOLOGIST
EYE PHYSICIAN & SURGEON

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655 Medical Center Dr NE       |       Salem, Oregon 97301       |     503.581.5287       |         Fax 503.386.1377       |       mceyeclinic.com