College Station (979) 260-2500 | Houston (713) 984-9777

Lasik Forms to Download

flash_lady_nature_revLASIK Patient Forms

In order to save you time during your office visit, we have made the following forms available for you to complete online.

Please click on the document link and fill out the forms on your computer. Once completed, please print out the forms and bring them with you on your appointment day.   Or, you can save the documents on your computer, attach them to an email and send them to us at
To complete the forms, please just click on the first gray text box and fill in the information. Click the “Tab” key to move to the next section of the form. Please do not press the return or enter key. If you wish to view our privacy policy, please click here. If you have any questions, please call us Toll Free: 877-984-9777 or email us and we will be happy to help.

Patient Information Form

      Patient Information Form – Pdf Format

Patient Questionnaire Form

     Patient Questionnaire Form – Pdf Format

Existing Patient Form

     Existing Patient Form – Pdf Format

Dr. Charles Moore is a renowned College Station LASIK surgeon and cataract surgery provider, offering top-quality vision correction procedures to patients throughout Texas. Dr. Charles Moore is recognized as a pioneer of laser vision correction, and together with his team of experienced surgeons, has helped more than 50,000 patients achieve clear vision.