Thank you for choosing Gailey Eye Clinic for your vision care. For your convenience we’ve made a few of our forms available to you online. If you are a new patient who would like to be ahead of the game when you arrive for your first appointment, please complete the New Patient Form. If you are a patient requesting your medical records from Gailey Eye Clinic, please fill out the Medical Records Release to receive a copy of your records.
Note that dilating drops may be used at your exam. These drops allow the doctor to see inside your eye, which is the only way to thoroughly evaluate your eye health. Dilating drops affect people differently, and on some occasions may temporarily blur vision and increase sensitivity to bright lights. Also, some people have difficulty driving immediately after the exam. We cannot predict the affect on your vision. Therefore, you may want to make special transportation plans or bring a driver with you on the day of your exam. On sunny days, you will be more comfortable exiting the office with sunglasses. You are encouraged to bring sunglasses with you, however we can provide a disposable pair for you if you do not have any with you at the time of your exam.
We hope you find this information helpful. Feel free to contact us with any questions.
Please click here to fill out this form in advance of your initial appointment (for new patients only).
Please click here to fill out this form if you are requesting a copy of your medical records.
Please click here to fill out this form.
If you are having surgery, such as cataract, corneal, retinal, oculoplastic or any other surgery that requires anesthesia, please click here for pre-surgical information*
If you are having one of the following laser procedures (Peripheral Iridotomy, SLT, or YAG laser), please click here for laser information*
If you need to treat a minor without a parent/legal guardian present, please click here to fill out the form.
*If you are not scheduled to undergo surgery at the Bloomington Eye Institute or Gailey Eye Surgery-Decatur, please contact your surgical scheduler for more information.