Please note that it is important to fill in all the fields before submitting. Thank you.
I consent to treatment necessary for care of the above named patient
I have read and fully understand the above consent for treatment, financial responsibility, release of medical information and insurance authorization.
Learn more about Dr. Jeffrey D. Gold, a board-certified Ophthalmologist with over 45 years of experience in eye medicine and surgery with special expertise in laser technology.
The Doctor's Doctor
“Dr. Gold has changed my life. He put an anxiety I had about the surgery at ease and I have felt well taken care of at every point of treatment and follow-up. I have had 100% confidence in my care with Dr. Gold”
Copyright © 2015, Dr. Jeffrey D. Gold. All Rights Reserved.