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Self Test For Cataracts In Reading

Berks Eye Physicians & Surgeons, Ltd.

1. What is your age group?





2. I am having trouble with:








3. Have you been told you have cataracts?



4. What do you usually wear?





5. Without my glasses and contacts...(check all that apply)




6. I would like to reduce or eliminate my need for spectacles or contact lenses:



7. Think about the things in life you want to do without glasses after cataract surgery. Which group is the most important? (check all that apply)






If you think you might have cataracts, you may complete the following form and submit it to us. We will contact you to schedule a comprehensive cataract evaluation.

ADDRESS:
1802 Paper Mill Road Wyomissing, PA 19610
PHONE:
FAX:
(610) 376-6968
OFFICE HOURS
Monday
8:00 am - 7:00 pm
Tuesday
8:00 am - 5:00 pm
Wednesday
8:00 am - 5:00 pm
Thursday
8:00 am - 7:00 pm
Friday
8:00 am - 5:00 pm