Your first appointment with us will most likely be as a referral from another medical doctor. If you are a new patient, please plan to arrive at least 15 minutes early to help ensure your records have the information we need. When you arrive, you will be greeted by our receptionist who will request you to complete the patient registration form, medical history questionnaire, benefits assignment letter, and HIPAA privacy notice. To streamline your visit, you can print these forms (link provided below) and fax them to our office, or bring them with you to your appointment. A notice of our privacy practices will be provided to you. Please also bring a photo identification proof, all insurance cards, your medication list, your medical history, and any relevant medical records you possess. During your initial visit to our practice, we will conduct a comprehensive examination and evaluation of your retina. First, you will meet with an experienced ophthalmic technician who will take a detailed medical history, perform visual screening tests and administer drops that dilate your pupils. The dilation process takes approximately 30 minutes. Next, your physician will review your medical history and examine your eyes, paying special attention to your retina.

Your physician will explain the findings, and if necessary, will recommend diagnostic testing. Once a diagnosis is made, your physician will discuss the available treatment options. The physician will also respond to any questions or concerns you may have, and send an detailed consultation report to your referring doctor.


Depending on the complexity of your condition, expect that the initial evaluation may take 2 to 3 hours. Dilation causes blurring of near vision and increases sensitivity to light. Though it is legal to drive dilated, it is recommended that you arrange to have someone drive you home after the consultation. You may wish to bring sunglasses with you to protect from sunlight.


Subsequent visits at our office may be considerably shorter, depending on the nature of the visit (follow-up, testing, treatment) and complexity of the disease.

At subsequent visits, we will repeat any required examination and evaluations, and treat you based on the plan setup by the physician. First, you will meet our ophthalmic technician who will prepare you for your visit with the physician. Dilation of the eyes may be needed during subsequent visits as well. Next, you will be seen by the physician who will follow-up, test or treat you, depending on the type of appointment.


Retina Health Institute participates with most insurance companies and will file claims on your behalf. Although majority of the professional services performed in our offices are likely to be covered by your health insurance plan, we recommend that you be familiar with the terms of your policy. If you are not covered by insurance, individual arrangements may be made with our office manager. All co-pays and deductibles are due at the time of service. Should you have any questions about our fees or your financial obligations, please contact us at our office. Attached below is a copy of our Benefits Assignment letter. This document helps us file claims on your behalf to the insurance company for services rendered to you. Please complete, sign and return a copy to our business office.


Since April 14, 2003, the Health Insurance Portability & Accountability Act (HIPAA) requires healthcare providers to:
Maintain the privacy of medical information provided to us.
Prevent inappropriate use of that information.
Provide notice of our legal duties and practices
Abide by the terms of our Notice of Privacy Practices currently in effect.
Protect and enhance patient rights by giving you, the patient, control of your medical information.

Attached below are relevant forms needed during your visit, including a copy of our most recent NOTICE OF PRIVACY PRACTICES. You can expect to receive a copy of this notice, at our office, on the day of your initial visit.

Main Contact Number:


Fax Number: 847-488-0677


1530 N Randall Road

Suite 202

Elgin, IL 60123


1075 Featherstone Rd

Suite 10

Rockford, IL 61107

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