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Ruiz Department of
Ophthalmology & Visual Science

Robert Cizik Eye Clinic

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  • Home
  • Care Providers
    • Dr. Ore-ofe Adesina
    • Dr. Shazia F. Ali
    • Dr. Garvin H. Davis
    • Dr. Robert M. Feldman
    • Dr. Layla Ghergherehchi
    • Dr. Bhavani R. Iyer
    • Dr. Stella K. Kim
    • Dr. David A. Lee
    • Dr. Grace Lindhorst
    • Dr. Christina Mamalis
    • Dr. Timothy McCulley
    • Dr. Asadolah Movahedan
    • Dr. Ruchi Shah
    • Dr. Zhiyong Yang
  • Clinical Services
    • Adult Strabismus
    • Cataracts and Cataracts Surgery
    • Contact Lens Services
    • Cornea and External Eye Disease
    • Oculoplastic Surgery
    • Glaucoma
    • Low Vision and Vision Rehabilitation
    • Neuro-Ophthalmology
    • Ocular Oncology
    • Refractive Surgery
  • Our Location
  • Patient Portal
  • Pay My Bill
  • Contact Us Online
    • About Our Namesake, Robert Cizik
    • About the Robert Cizik Eye Clinic
    • Adult Strabismus
    • Astigmatism
    • Blepharitis
    • Blepharospasm
    • Cataracts and Cataracts Surgery
    • Cizik Eye Clinic Patient Portal
    • Clinical Services
    • Conjunctivitis
    • Contact Lens Services
    • Cornea and External Eye Disease
    • Cornea Transplant
    • Cosmetic Oculoplastics
    • COVID-19 Patient Screening
    • Disclaimer
    • Double Vision and Eye Movement Abnormalities
    • Dr. Asadolah Movahedan
    • Dr. Bhavani R. Iyer
    • Dr. Christina Mamalis
    • Dr. David A. Lee
    • Dr. Garvin H. Davis
    • Dr. Grace Lindhorst
    • Dr. Karina Richani-Reverol
    • Dr. Layla Ghergherehchi
    • Dr. Ore-ofe Adesina
    • Dr. Robert M. Feldman
    • Dr. Shazia F. Ali
    • Dr. Stella K. Kim
    • Dr. Timothy McCulley
    • Dr. Zhiyong Yang
    • Dry Eyes
    • Episcleritis
    • Frequently Asked Questions: Low Vision Services
    • Functional Oculoplastics
    • Glaucoma
    • Houston Eye Doctors
    • Lazy Eye (Amblyopia)
    • Low Vision and Vision Rehabilitation
    • Low Vision Devices
    • Low Vision Driving Program
    • Low Vision Grants
    • Low Vision Rehabilitation: Education and Support
    • Macular Degeneration
    • Neuro-Ophthalmologists
    • Neuro-Ophthalmology
    • New Patient Appointment: What to Expect
    • Occupational Therapy Services for Low Vision
    • Oculoplastics
    • Ophthalmic Imaging
    • Ophthalmologists
    • Optic Nerve Papilledema
    • Optic Nerve Sheath Meningioma
    • Optic Neuritis
    • Orbital Tumors
    • Orientation and Mobility Services
    • Our Physicians in the News
    • Patient Forms
    • Pediatric Glaucoma
    • Presbyopia
    • Ptosis
    • Refractive Surgery
    • Robert Cizik Eye Clinic Location
    • Scleritis
    • Styes and Chalazia
    • Thyroid Eye Disease
    • Uveitis and Ocular Inflammatory Disease
    • What to Expect: Neuro-Ophthalmology or Oculoplastics Appointment
    • What to Expect: Retinal Disease Appointment
    • Your Rights and Protections Against Surprise Medical Bills

Patient Forms

The forms below are pdfs you can print and fill out at home before your appointment. If you have a chance, please fill them out before you arrive to save time!

  • Consultation Request
  • Patient Health Questionnaire
  • Patient Registration
  • Record Release Authorization

Learn More about our Covid-19 patient screening policy here »

Ophthalmology & Visual Science
at McGovern Medical School

Visit the Robert Cizik Eye Clinic website »
Request an Appointment with the Robert Cizik Eye Clinic »

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