- Building a Practice with Passion
Patient Center
Secure Patient Portal
Accessible, 24 hours a day, 7 days a week. Secure, Fast and Convenient.
- Directly email your doctor to discuss your treatment plan, ask questions about your surgery, or request medication refills. For step by step instructions, click here.
- New Patient Registration saves you time by allowing you to register from anywhere, at any time of day.
- Pay your bills online.
- Login Here Now!
Contact Lenses
To order your contact lenses, login to send a secure message to your doctor.
Request an Appointment
Simply click here to request an appointment and our team will follow up with you.
Patient Forms
We offer the following patient information for your convenience. Please click on the link to go to the specific page you would like to view or print:
- Advance Directives
- American Disabilities Act
- Facility Fee Statement
- Notice of Privacy Practices
- Notice to All Patients
- Patient Bill of Rights
- Patient Communication Form Full Release
- Patient Communication Form Limited Release
- Patient Responsibility Statement
- Patient Disclosure by Alternative Means
- Patient Request for Records
- Patient Request for Amendment of Records
Surgery Center Patient Forms
- Patient Checklist For Cataract Surgery
- Eye Medication Instructions Before Surgery
- Post- Operative Restrictions and Expectations
- Eye Medication Instructions After Cataract Surgery
- Discharge Instructions For Cataract Surgery
American Disabilities Act
Chesapeake Eye Care & Laser Center and Chesapeake Eye Surgery Center comply with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or gender.
Questions?
Call us today at 1-877-DR4-2020 or click here to ask a question.