About Your Visit - What you need to know?

We make every effort to be punctual. You should allow one hour for your initial visit, although the actual length of your appointment may vary.

Dr. Cockerham looks forward to meeting with you to discuss your concerns and answer any questions you might have about possible medical and surgical options.

Dr. Cockerham and her staff are committed to providing personalized care within a pampered setting. You will be provided with a direct email contact with Nicole and Dr. Cockerham to facilitate your ongoing relationship with our office.

What to bring to your appointment:

  • If you have received a registration form in the mail in advance of your visit, please complete this and remember to bring it with you. These questions help us to screen you for possible surgery.
    Often it is helpful to have old photographs from your late teens or twenties. Old photographs help Dr. Cockerham evaluate your eyes and face and help guide any requested surgery.
  • Or you can download, print and complete the patient forms provided below and bring them with your to your consultation with Dr. Cockerham.
  • Bring a list of all vitamins, medicines, and eyedrops you are using. Aspirin and cousin drugs must be stopped 10 days before any procedures. With rare exceptions, if a procedure or biopsy is recommended, you will be asked to schedule a return appointment.
  • Please remove any eye make-up prior to your appointment. If you wear contact lenses, please bring your glasses and a contact lens case.
  • If you have a complex problem, bring copies of your medical records or special tests including the actual CT or MRI scans.

What you will experience during your visit with us

Luxurious Pampering

Total Convenience

  • Friendly, professional staff
  • Freshly brewed coffee, tea, bottled water, and juices
  • Warmed lavender neck pillows
  • Certified aestheticians of staff
  • Facials and lunchtime peels
  • Paraffin treatments
  • Visa & Mastercard accepted
  • Easy access to Highway 280, 85, 101
  • Free parking
  • True Credit available to finance your care with a no interest period of your chosing
  • Weekend and evening appointments to meet the needs of your busy schedule
  • Cozy Altos Oaks Medical Community Location

Patient Forms

Please download, print and complete the forms provided. These forms are critical for your appointment with Dr. Cockerham. We have provided these patient tools to better guide you through your appointment and process your paperwork faster.

New Patient Registration Forms

Patient Registration
Medical Records Release Form
Summary of Privacy Policy
Cancellation Policy
Responsibility of Payment

Medical Aesthetic Forms

Medical Aesthetic Intake Form
Botox Consent Form
Intense Pulsed Light (IPL) consent form
Restylane Consent Form
Counseling for Eyelid Surgery
Consent for Surgery
Consent for Orbital Tumor Removal
Eyelid Surgical Counseling Document

Other Forms

Patient Questionnaire
Certificate of Need Form
Pre-Anesthesia Form

Forms Require Free Adobe Reader Software - download here if needed

www.carecredit.com


Participating Insurance Plans

  • Aetna PPO
  • Blue Cross PPO
  • Blue Shield PPO
  • Corval
  • First Health
  • Humana Choice Care
  • United Healthcare (effective 8/15/07)
  • USA MCO
Physician’s Medical Group (PMG) Preferred Physicians Medical Group (PPMG)
Aetna HMO Affordable Health Care (AHC) PPO
Aetna POS Admar PPO
Blue Shield HMO BCE Healthcare PPO
Blue Shield POS Beech Street PPO
California Care HMO Choicecare PPO
California Care POS Formost PPO
Cigna HMO HMN PPO
Cigna POS Health Network PPO
Cigna (Open Access) POS MedNetwork PPO
Coastal HC Admin PPO/EPO Multiplan PPO
Health Net HMO Private Health Care Service PPO
Health Net POS Pro-America PPO
Health Net PPO USA MCO PPO
Health Net Seniority Plus HMO Up & Up PPO
Great West HMO    
Pacificare HMO    
Pacificare POS    
Secure Horizons HMO    

We do have an agreement with PAMF to see their Neuro-Ophthalmology patients. This includes patients that are participating in Camino Medical Group, Palo Alto Medical Clinic, Santa Cruz Medical Clinic and Palomares. Patients should still get an authorization to see Dr. Cockerham.

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