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
“Before Epi-LASIK I couldn’t see ANYTHING without glasses or contacts. After surgery it was amazing…Dr. Gold and his staff…made me feel so comfortable…Thank you for my vision!! You guys are great!!!”
Copyright © 2015, Dr. Jeffrey D. Gold. All Rights Reserved.