Pre-appointment forms for private eye surgery

Complete your pre-appointment forms for EyeSurgeryClinic.co.uk to help our consultant understand your symptoms, medication and medical history before you arrive. It saves time on the day and supports safer, faster care for cataract, oculoplastics and other eye procedures.

  • Secure UK clinic intake for cataract, oculoplastics and other consultations
  • Tell us about symptoms, current prescriptions and relevant health conditions
  • Reduced waiting on arrival and more time with your specialist
  • Request an appointment and we’ll confirm the next available slot

If you prefer, you can complete forms by phone. If you have urgent eye symptoms (e.g., sudden vision loss), seek immediate medical help via NHS 111/999.

Pre-appointment forms (UK) — what you’ll complete

Our pre-appointment forms are a structured set of questions we ask ahead of your private eye consultation. They help us triage appropriately, reduce duplication, and make sure the consultant has the right information before examining your eyes.

You can use this page to submit your details and request an appointment. After you submit, our team will contact you to confirm your slot and advise what to bring, including any previous letters, imaging, and your current glasses.

If you’re booking for cataract or oculoplastics

Please include which eye(s) are affected, how long symptoms have been present, and any previous eye surgery (e.g., laser, injections, lid surgery). This helps us allocate the appropriate appointment length.

Common information we’ll ask for

  • Symptoms and when they started (blurred vision, glare, eyelid droop, watering, lumps, irritation)
  • Eye history (previous surgery, trauma, contact lens use, glaucoma/AMD, injections)
  • General medical history (e.g., diabetes, blood pressure, heart/lung conditions)
  • Medication list and allergies (including blood thinners)
  • Your preferred clinic time and any accessibility requirements

Request an appointment

Complete the short form below. We’ll call or email to confirm your appointment and advise the next steps for your pre-appointment paperwork.

Read FAQs

By submitting, you consent to be contacted about your enquiry. Please avoid including highly sensitive information in free-text fields.

Need help completing the forms?

If you’re unsure about medications, diagnoses, or previous treatment dates, submit what you know and we’ll help you fill in the gaps when we call to confirm.

Why completing pre-appointment forms matters

More time with your consultant

We collect key details in advance, so your appointment focuses on examination, diagnosis, and options rather than paperwork.

Safer clinical decisions

Knowing your medications (including anticoagulants) and health conditions helps plan investigations, anaesthesia choices, and aftercare.

A smoother visit

With the essentials already captured, check-in is quicker and we can prioritise tests such as vision assessment and pupil dilation.

Right appointment length

Complex cataracts, eyelid surgery assessments, or multiple concerns may need additional time—your form helps us book appropriately.

Better continuity of care

If you have NHS letters, optometry reports, or previous imaging, we can advise what to share so nothing is missed.

Clarity on next steps

You’ll know what to expect: any tests, whether dilation is likely, and how follow-ups or treatment scheduling works.

How the pre-appointment process works

  1. Submit your request on this page.
    Share your contact details and a brief outline of what you need help with (cataract, oculoplastics, or general ophthalmology).
  2. We contact you to confirm your appointment.
    We’ll agree a suitable date/time and confirm clinic location and any instructions before your visit.
  3. Complete pre-appointment paperwork.
    Depending on your needs, we may ask you to complete additional medical history and consent paperwork before you attend.
  4. Attend your consultation and tests.
    Your consultant reviews your history, examines your eyes, and discusses options, risks, benefits, and expected recovery.

What happens after the appointment?

If you decide to proceed with private treatment, we’ll guide you through scheduling, pre-op checks (if required), and aftercare. If surgery isn’t appropriate, we’ll discuss alternatives and monitoring.

Time-saving tip

Have a list of your medications ready (or a photo of the labels). Include eye drops, supplements, and any blood-thinning medication.

What to prepare and bring to your appointment

Item Why it helps Examples
Medication list Supports safe treatment planning and reduces errors Eye drops, anticoagulants, steroids, diabetes meds
Glasses / contact lens details Helps interpret vision symptoms and outcomes Distance/reading specs, contact lens brand/prescription
Previous letters/results Avoids repeat tests and clarifies history NHS clinic letters, optometrist reports, OCT results
Driver arrangements Your pupils may be dilated during assessment A friend/family member, taxi, public transport

Accessibility and reasonable adjustments

If you need step-free access, a carer to attend with you, large-print paperwork, or extra time for form completion, include this in your request and we’ll confirm arrangements in advance.

Common form mistakes (and how to avoid them)

Leaving out medications

Include all prescription and over-the-counter medications, plus supplements. If you’re unsure, upload details later or bring the list to your appointment.

Not describing the symptom impact

Tell us how symptoms affect daily life—driving at night, reading, screen use, watering, or eyelid heaviness—so we can prioritise appropriate assessment.

Forgetting prior eye treatment

Mention any eye injections, laser, trauma, or surgery—even if it was years ago—as it can influence treatment choice and risk discussion.

Unclear contact preferences

Make sure your email and telephone number are correct. If you’re often in meetings, let us know a convenient time to call in the symptoms box.

Pre-appointment forms: FAQs

Are pre-appointment forms mandatory?
They’re strongly recommended because they improve safety and save time. If you can’t complete them online, we can help you complete key sections over the phone or in clinic.
How long do the forms take?
Most patients can provide the essentials in 3–5 minutes on this page. Additional medical history forms (if required) typically take 10–15 minutes, depending on complexity.
What if I don’t know my full medical history?
Submit what you know. We’ll clarify details when we confirm your appointment. Bringing a medication list (or a photo of labels) is usually the most helpful.
Will my pupils be dilated at the appointment?
Often, yes—particularly for cataract and many retinal or general ophthalmology assessments. Dilation can blur vision for a few hours, so plan travel accordingly.
Can I book for someone else (e.g., a parent)?
Yes. Use the symptoms box to explain you’re booking on their behalf, and provide the patient’s details in the name fields. We’ll confirm consent and contact preferences when we call.
How is my information used?
We use your details to respond to your enquiry, confirm appointments, and support safe clinical care. Please avoid including highly sensitive information in free-text fields; we can gather necessary details securely during confirmation.

Looking for clinical information?

If you’re researching treatment options, mention your suspected condition in the form and we’ll send guidance ahead of your visit. For example: cataract symptoms and lens choices, or oculoplastics assessment for droopy eyelids (ptosis) and watery eyes.

Trusted private eye care in the UK

“The pre-appointment questions meant the consultant already understood my symptoms. The visit felt organised and unhurried.”
— Private patient
“I was nervous about cataract surgery. Completing the forms early helped me remember my medications and ask the right questions.”
— Cataract consultation
“Clear communication, quick check-in, and a thorough explanation of my eyelid procedure options.”
— Oculoplastics assessment

Clinical focus areas

We support patients seeking private assessment for cataracts, eyelid and tear-duct concerns (oculoplastics), and other ophthalmic conditions. Use the appointment form above to tell us what you need help with.

Ready to complete your pre-appointment forms?

Submit your details now and our team will confirm your appointment and advise the next steps for your pre-appointment paperwork.

Go to the form What to bring

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Updated on 13 Mar 2026