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Patient Information – Columbus Laser & Cataract Center

Patient Forms

Thank you for choosing Columbus Laser & Cataract Center. Please download and complete the forms below that apply to your procedure and bring your completed forms to your appointment at our office.


Cataract Surgery

Please download and complete these 3 forms:


Refractive Surgery

Please download and complete these 2 forms:

Payment Options


Please Note: Payment in full is due before or at the time of your procedure.

Payment Methods

  • Cash
  • Check
  • Credit cards (Visa, Mastercard, Discover and American Express)
  • Pre-approved credit

CareCredit® Financing

If you’re concerned you may not have the financial resources available for laser vision correction, Columbus Laser & Cataract Center is pleased to offer the CareCredit® card. CareCredit cards work just like a regular credit card, but is exclusive for healthcare services. CareCredit offers low monthly payment plans for healthcare procedures not commonly covered by insurance, including LASIK. Now you don’t have to save up for years to finally get the vision you’ve always wanted. We’ll help you see clearer, sooner.

For vision procedures, CareCredit offers:

  • Low minimum monthly payments
  • No-interest financing if paid within 12 months (Additional plans may be available)
  • No up-front costs, pre-payment penalties or annual fees

Learn more by visiting or call our office at (614) 939-1600 to schedule an appointment. Ready to apply for your CareCredit card? Apply online today. You’ll be seeing clearer in no time.

Quickly find out what your monthly payments will be before applying for CareCredit by using our online calculator.

Insurance Coverage

Most insurance plans do not cover Laser procedures. However, you should contact your insurance company to determine if it is included in your Benefits Plan. Some insurances may provide partial coverage, in which case you are responsible for the remaining balance.

Be sure to check if you have VSP (Vision Service Plan), Total Vision Services or ECPA (Eye Care Plan of America). Though these plans do not pay for procedures, they do offer a discounted rate. We are one of only two laser centers in Columbus credentialed by VSP.

Patient Testimonials

True Laser Vision Correction Stories

To Dr. Robin Beran & Staff at the Columbus Laser Center,

“I spent a great deal of time considering whether to have the laser or not. As a pathologist my eyes are essential for doing my job. After all of the talking, cruising the Internet, reading and even attending an educational workshop, I decided that I wanted to trust my eyes to someone who has extensive experience with not only the LASIK procedure, but who also has a great deal of experience with other surgical options (e.g. PRK) that are available.”

“This was one of the best decisions I have made in my life. The results have far exceeded my expectiations or hopes! Dr. Beran and staff demonstrated that it is possible to perform laser correction in a professional, caring, and friendly environment. Every aspect of the process demonstrates their commitment to achieving the best possible results. I am very appreciative of each and every one of them for the time and effort given to the care of my eyes.”

“I recommend Dr. Beran and all of the staff at the Columbus Laser Center to anyone who is considering having this done.”

With Warm Regards,
Bill Becker, DO
Medical Director, Ohio Department of Health Laboratory

Dr. Beran and Staff,

“I can’t thank you enough for new “look” on life you’ve given me! It’s been 29 years since I could see without the aid of anything and now everything is so clear and bright. I feel like a 10 year old again. Your entire staff has to be the best collection of warm, wonderful people I’ve ever met. Again, thank you for everything.”

Tammy Carriveau

Dear Dr. Beran,

“I just wanted to thank you for my 20/20 vision. I have worn glasses for 32 years and have slowly watched my vision steadily get worse over the passing years. But thanks to you I now have perfect vision. The day after my procedure my optometrist commented that he could not even detect the flaps – if I had not told him that I had the Lasik procedure done he would have never known. This truly is the best return on my money I have ever made. To say thank you is just not enough. It is everything I had hoped for. It has been 2 months and I still get excited when I realize, Wow, I can see!!!”

“I think what impressed me the most is how thorough your staff was in explaining the risks. Most places that I researched did not do that. It’s hard to believe that something so quick and painless could do so much! I have no regrets and I know first hand why your reputation proceeds you. You have such a phenomenal gift in giving people a second chance for perfect vision and I am forever indebted to you.”

Thank you again and again,
Pam Martin

“Earlier this year, I had PRK performed on both of my eyes by Dr. Beran! I had been wearing soft contacts for over 20 years. Needless to say, it was marvelous to be able to wake up in the morning and not search for my glasses or rush to put in my contacts. No more ripped lenses or bottles of different sorts of cleaning solutions. The bottom line is my vision is super….no side effects! The whole process was seamless, from my initial appointment, to the scheduled procedure and now my followup appointments. The staff has always been extremely helpful, answering all my questions and inquires about insurance. I would highly recommend Dr. Beran and his staff.”

Monique Phillips

For more information on LASIK, cataract surgery and other eye procedures call Columbus Laser & Cataract Center today at (614) 939-1600 and schedule an appointment or consultation.

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