Booking Enhancement Surgery

while booking surgery enhancement 2026-10-21

Enhancement Booking checklist

"*" indicates required fields

[phone] Before we begin, we’d like to reconfirm your contact details to ensure Dr. Brinton and our team can reach you with important medical updates. Could you please confirm that this is the best number for calls and texts, and also share your preferred email and date of birth? [answers]

booking TECH's bv email address*

patient preferred first name*

patient last name*

For your medical safety, our doctors need to be able to reach you on the day of surgery. Please provide me with your personal cell phone number and best email address. [patient needs to verbally confirm]

patient personal cell number*

patient best email here*

patient dob*

I confirm that the patient name, phone number and email are correct and match in hubspot and acuity*

Yes

enhancement booking checklist

at post op appointment where doctor recommends enhancement:

before doctor leaves room - doctor mrx is very helpful / encouraged when a patient is in clinic and we are contemplating signing them up for an enhancement

if no pentacam within the past 90 days, get a new pentacam; remember that if a patient's prescription isn't on target this is assumed to be due to keratoconus until proven otherwise by pentacam!

if first mrx number is +0.75, +1.00 or more, for sbk/prk enh, get acutarget hd now so staff don't have to get this on surgery day

print ti and consent forms and give to patient.

We highlighted our plan for you. List any questions separately to discuss with our doctors. Don’t mark on this booklet. Initial and sign where highlighted if you agree with our plan. The signature block on the second to last page will be signed in our office on arrival, so leave it blank for now. You will need to bring the original with you when you come in for your procedure. Reply to your confirmation email to confirm you have read your treatment instructions and consents thoroughly. At that point we can send you the link to schedule your enhancement.

Once I get an email from you confirming you have completed your pre arrival steps, (only after this), I will email you a scheduling link!

remind to stay out of contacts for at least three days prior to surgery date, but seven days is preferred.

required steps [in room]
Reminder that you will not be able to drive yourself home after your procedure. Arrange a ride from either a family/friend, uber, or walking to a nearby hotel to safety depart from our office. Make sure to tell your driver that your surgery time is approximate, and that you will let them know by 5pm the night before surgery, even if that is a Sunday, what the final arrival time is as these times are moved or adjusted as in most surgical facilities.
if more eye drops needed, get signed juniper sheet and percocet rx, send to juniper. hand them the drop page and paper percocet rx if they don't go to juniper.
[<1yr] When you book at brintonvision.com/enhancement it will ask for a credit card for $3200. If the surgery appointment you choose is within one year of your original surgery date, enter FIRSTYEAR and it will credit $3200. If the surgery appointment you choose is after one year from your original surgery date, enter HALFOFF and it will credit you $1600. Starting one year from the original surgery date, any enhancement surgery requires facility fee payment of $1600; please be careful to schedule before your one year mark, which is [date of initial surgery]. have the patient write this date down in pen in front of you]
[>1yr] Since you had your last vision correction procedure with us, Dr. Brinton doesn't charge his surgeon's fee. You would just pay the facility fee to cover a portion of what it costs to use the surgical equipment. When you book at brintonvision.com/enhancement it will ask for a credit card for $3200. Enter HALFOFF and it will credit you $1600.
Within a few days after you schedule your enhancement surgery online you will get your postoperative day one time; look for this in your email.
only exception where our staff schedules the enhancement within 1 year for the patient is for an iol exchange after clr (which only goes in a monday 10:30am enhancement time slot), or evo exchange/removal which can go in any morning enhancement time slot.

required steps [on phone]
Reminder that you will not be able to drive yourself home after your procedure. Arrange a ride from either a family/friend, uber, or walking to a nearby hotel to safety depart from our office. Make sure to tell your driver that your surgery time is approximate, and that you will let them know by 5pm the night before surgery, even if that is a Sunday, what the final arrival time is as these times are moved or adjusted as in most surgical facilities.
if more eye drops needed, get signed juniper sheet and percocet rx, send to juniper. if no juniper, mail drop form to their mailing address or they can pick it up in the office.
when signed ti forms are received (only after this), I will email you a scheduling link!
[<1yr] When you book at brintonvision.com/enhancement it will ask for a credit card for $3200. If the surgery appointment you choose is within one year of your original surgery date, enter FIRSTYEAR and it will credit $3200. If the surgery appointment you choose is after one year from your original surgery date, enter HALFOFF and it will credit you $1600. Starting one year from the original surgery date, any enhancement surgery requires facility fee payment of $1600; please be careful to schedule before your one year mark, which is [date of initial surgery]. have the patient write this date down]
[>1yr] Since you had your last vision correction procedure with us, Dr. Brinton doesn't charge his surgeon's fee. You would just pay the facility fee to cover a portion of what it costs to use the surgical equipment. When you book at brintonvision.com/enhancement it will ask for a credit card for $3200. Enter HALFOFF and it will credit you $1600.
Within a few days after you schedule your enhancement surgery online you will get your postoperative day one time; look for this in your email.

AFTER we receive confirmation from the patient that they completed the pre arrival steps,
verify that all pages are appropriately initialed by the patient and that the patient signed and dated the last page with a correct date
transfer signed ti forms to patient images
email or text patient brintonvision.com/enhancement

AFTER patient has scheduled their enhancement online
in the note section of the appointment, list the initial bv eye surgery date and the enhancement date to confirm they are within one year of each other. or, if over 1 year, list the original surgery date and state "patient has had no outside surgery on this eye since our bv surgery."
put surgery type, such as sbk ou, prk os, in the acuity appointment notes
manually schedule postop day one appointments; acuity will send the confirmation time
[if comanaged (all od-r or all od) and planned enhancement] call referring od office and schedule 1m and 3m postops along with annual exam
[if bv/od-r] confirm annual exam has been scheduled

A B C

1. SBK
brintonvision.com/SBK39-bv 14:49 brintonvision.com/SBK40+plOUbv 17:11 brintonvision.com/SBK40+mvbv 27:10

brintonvision.com/kateSBK 5:58 brintonvision.com/kateSBK 5:58 brintonvision.com/kateSBK 5:58

2. SBK
brintonvision.com/SBK39-od 14:35 brintonvision.com/SBK40+plOUod 15:45 brintonvision.com/SBK40+mvod 27:04

brintonvision.com/kateSBK 5:58 brintonvision.com/kateSBK 5:58 brintonvision.com/kateSBK 5:58

3. PRK
brintonvision.com/PRK39-bv 18:15 brintonvision.com/PRK40+plOUbv 20:57 brintonvision.com/PRK40+mvbv 31:25

brintonvision.com/katePRK 7:33 brintonvision.com/katePRK 7:33 brintonvision.com/katePRK 7:33

4. PRK
brintonvision.com/PRK39-od 18:21 brintonvision.com/PRK40+plOUod 21:02 brintonvision.com/PRK40+mvod 31:42

brintonvision.com/katePRK 7:33 brintonvision.com/katePRK 7:33 brintonvision.com/katePRK 7:33

5. EVO
brintonvision.com/EVO39-bv 20:14 brintonvision.com/EVO40+plOUbv 22:46 brintonvision.com/EVO40+mvbv 33:18

brintonvision.com/kateEVO 6:30 brintonvision.com/kateEVO 6:30 brintonvision.com/kateEVO 6:30

6. EVO
brintonvision.com/EVO39-od 20:24 brintonvision.com/EVO40+plOUod 22:52 brintonvision.com/EVO40+mvod 33:23

brintonvision.com/kateEVO 6:30 brintonvision.com/kateEVO 6:30 brintonvision.com/kateEVO 6:30

7. CLR
brintonvision.com/CLRmfbv 42:00 brintonvision.com/CLRplOUbv 24:28 brintonvision.com/CLRmvbv 31:57

brintonvision.com/kateCLR 7:11 brintonvision.com/kateCLR 7:11 brintonvision.com/kateCLR 7:11

8. CLR
brintonvision.com/CLRmfod 41:52 brintonvision.com/CLRplOUod 24:18 brintonvision.com/CLRmvod 31:41

brintonvision.com/kateCLR 7:11 brintonvision.com/kateCLR 7:11 brintonvision.com/kateCLR 7:11

9. CLRER
brintonvision.com/CLRmfbv 42:00 brintonvision.com/CLRplOUbv 24:28 brintonvision.com/CLRmvbv 31:57

brintonvision.com/kateCLRER 7:45 brintonvision.com/kateCLRER 7:45 brintonvision.com/kateCLRER 7:45

10. CLRER
brintonvision.com/CLRmfod 41:52 brintonvision.com/CLRplOUod 24:18 brintonvision.com/CLRmvod 31:41

brintonvision.com/kateCLRER 7:45 brintonvision.com/kateCLRER 7:45 brintonvision.com/kateCLRER 7:45

	A		B		C
1. SBK	brintonvision.com/SBK39-bv	14:49	brintonvision.com/SBK40+plOUbv	17:11	brintonvision.com/SBK40+mvbv	27:10
1. SBK	brintonvision.com/kateSBK	5:58	brintonvision.com/kateSBK	5:58	brintonvision.com/kateSBK	5:58
2. SBK	brintonvision.com/SBK39-od	14:35	brintonvision.com/SBK40+plOUod	15:45	brintonvision.com/SBK40+mvod	27:04
2. SBK	brintonvision.com/kateSBK	5:58	brintonvision.com/kateSBK	5:58	brintonvision.com/kateSBK	5:58
3. PRK	brintonvision.com/PRK39-bv	18:15	brintonvision.com/PRK40+plOUbv	20:57	brintonvision.com/PRK40+mvbv	31:25
3. PRK	brintonvision.com/katePRK	7:33	brintonvision.com/katePRK	7:33	brintonvision.com/katePRK	7:33
4. PRK	brintonvision.com/PRK39-od	18:21	brintonvision.com/PRK40+plOUod	21:02	brintonvision.com/PRK40+mvod	31:42
4. PRK	brintonvision.com/katePRK	7:33	brintonvision.com/katePRK	7:33	brintonvision.com/katePRK	7:33
5. EVO	brintonvision.com/EVO39-bv	20:14	brintonvision.com/EVO40+plOUbv	22:46	brintonvision.com/EVO40+mvbv	33:18
5. EVO	brintonvision.com/kateEVO	6:30	brintonvision.com/kateEVO	6:30	brintonvision.com/kateEVO	6:30
6. EVO	brintonvision.com/EVO39-od	20:24	brintonvision.com/EVO40+plOUod	22:52	brintonvision.com/EVO40+mvod	33:23
6. EVO	brintonvision.com/kateEVO	6:30	brintonvision.com/kateEVO	6:30	brintonvision.com/kateEVO	6:30
7. CLR	brintonvision.com/CLRmfbv	42:00	brintonvision.com/CLRplOUbv	24:28	brintonvision.com/CLRmvbv	31:57
7. CLR	brintonvision.com/kateCLR	7:11	brintonvision.com/kateCLR	7:11	brintonvision.com/kateCLR	7:11
8. CLR	brintonvision.com/CLRmfod	41:52	brintonvision.com/CLRplOUod	24:18	brintonvision.com/CLRmvod	31:41
8. CLR	brintonvision.com/kateCLR	7:11	brintonvision.com/kateCLR	7:11	brintonvision.com/kateCLR	7:11
9. CLRER	brintonvision.com/CLRmfbv	42:00	brintonvision.com/CLRplOUbv	24:28	brintonvision.com/CLRmvbv	31:57
9. CLRER	brintonvision.com/kateCLRER	7:45	brintonvision.com/kateCLRER	7:45	brintonvision.com/kateCLRER	7:45
10. CLRER	brintonvision.com/CLRmfod	41:52	brintonvision.com/CLRplOUod	24:18	brintonvision.com/CLRmvod	31:41
10. CLRER	brintonvision.com/kateCLRER	7:45	brintonvision.com/kateCLRER	7:45	brintonvision.com/kateCLRER	7:45

while booking surgery enhancement 2026-10-21

enhancement booking checklist

Have you had LASIK or lens implant surgery in the past?