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For Patients

Save time by printing out and completing these forms before your first appointment.

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Preparing for Your BARA Office Visit

 

Our practice is a specialty eye practice limited to the treatment of diseases and surgery of the retina and vitreous. Patients that are new to our practice will have a comprehensive consultation as well as possible additional testing ordered by the doctor. 

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The length of your appointment can vary based on the severity and complexity of your eye condition. As we are a referral practice, with frequent and unpredictable emergencies sent to us for our immediate attention, our appointment schedule at times may be delayed. The average appointment length is about two hours. 

 

Both of your eyes will be dilated and can affect your ability to drive. It is recommended that you arrange for transportation to and from our office. 

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Please bring to our office: 

  • Your medical insurance cards. 

  • Authorization from your primary care doctor or health insurance plan. 

  • Your medications or a list of medications with dosages. Be sure to include any and all eye drops as well as non-prescription (over the counter) medications.

  • Your Registration form and Patient history form.

  • A translator if English is not your primary language. 

  • Diabetic patients should consider bringing a meal or light snack if their appointment is in conflict with a regularly scheduled meal. 

  • Eyeglasses for distance and near vision.

 

Patient Code of Conduct

This policy applies to patients, staff, leadership (all levels), physicians, and any representation of Bay Area Retina Associates (includes all persons) while they are physically present at a BARA location(s). It is intended to be comprehensive and easily understood.

 
Bay Area Retina Associates is committed to providing high-quality healthcare. We are committed to creating a safe, caring, and inclusive environment for everyone — our patients, visitors, physicians, and staff in all our spaces.

 

BARA’s Patient Code of Conduct will help us to achieve this goal. All persons (including staff, patients, and guests) are expected to conduct themselves in a respectful and courteous manner. Disruptive behavior is prohibited and will be addressed in a manner that protects the safety and dignity of all involved. Words or actions that are disrespectful, discriminatory, hostile, or harassing are not welcome.

 

Examples:

  • Offensive comments about others (including personal traits)

  • Refusal to see a physician or staff based on any of these personal traits

  • Physical or verbal threats and/or assaults

  • Vulgar or unwanted advances (words or actions)

  • Being disruptive of other patients’ care

 
If we believe you have violated this Code of Conduct, we reserve the right to take additional action to review the violation/offense internally and without warning.  We will carefully consider the nature and sensitivity of the issue (s) before making any decisions. Decisions may lead to patient discharge.

 

Upon discharge:

  • Patient will receive a written notice of discharge

  • Patient medical records may be faxed to another physician (free of charge)

  • All outstanding patient unpaid balances will be owed

  • Patient may continue to receive statements if the balance remains unresolved

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