Patient Forms

Patient Forms

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Bucci Laser Vision provides the following patient forms to download:


If you would like your current eye care provider to release your information to Bucci Laser Vision please fill out this form:


If you would like Bucci Laser Vision to release your information to another eye care provider please fill out this form:


The following surgery center forms must be filled out in person, but are offered for patients to learn more about the documents that must be signed prior to a procedure:



If you have had an appointment with Bucci Laser VIsion please fill out the following Patient Satisfaction Survey to tell us about your experience with us.
How did you hear about us :
  1. What was the purpose of your visit to our office and which doctor were you scheduled to see today?
  2. Were you satisfied with how you were treated when you scheduled your appointment? If no, please explain
  3. How long did you have to wait before you were seen by a staff representative?

    4. Please tell us how satisfied or dissatisfied you were with each of the following:

  4. How satisfied were you with the way you were treated by the front desk staff at our office?
  5. How satisfied were you with the way you were treated by the doctors' technicians?
  6. How satisfied were you with the way your questions were answered by the doctor?
  7. How would you rate the courtesy you were shown by staff at our office?
  8. How satisfied were you with the way you were treated by the surgery scheduling staff in our surgery center?

    9. Please tell us how much you agree or disagree with the following statements:

  9. The staff was knowledgeable
  10. The staff was friendly and courteous
  11. My questions were answered fully
  12. I was given complete attention by the staff and doctor
  13. My surgery was a pleasant experience, and the staff was professional
  14. Overall, would you say your visit to our office was very positive, somewhat positive, somewhat negative, or very negative? Please explain.
  15. What, if anything, did you like most about your visit to our office?
  16. What, if anything, did you like least about your visit to our office?

See Better After Cataract Surgery!

Both cataract and pre-cataract patients older than 40 years of age who are dependent on bifocals or reading glasses are likely candidates, and patients who have these lenses implanted prior to developing cataracts will never need cataract surgery in the future. If you are seeking the TECNIS®, Crystalens®, ReZoom® or ReSTOR® IOL lens options in Pennsylvania Dr. Bucci can help you decide if this option is right for you!

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LASIK Self-Evaluation TEST

Find out if you can be a LASIK candidate. Take our LASIK self-evaluation test and you will be evaluated and contacted by one of our LASIK coordinators to discuss your candidacy. If you meet the requirements of our test we will suggest an in person pre-operative eye exam. This eye exam is a complete eye health eye exam and will most likely be one of the most thorough eye exams of your life. We obviously take your vision very seriously at Bucci Laser Vision.

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Blade-Free LASIK

iLASIK - individualized Advanced CustomVue Bladeless LASIK

If you are seeking the safest LASIK in Pennsylvania please feel free to call us about the NEW Bladeless LASIK eye surgery. For more information regarding the Intralase ALL-LASER LASIK please feel free to review our website. We are happy to bring our patients the safest option available for LASIK eye surgery.

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Financing Options

LASIK Financing in Pennsylvania We aim to break down any cost issues that our patients may have if they are considering LASIK eye surgery. Our LASIK center goes way beyond what other centers do to help our patients overcome this affordability issue. If cost is something that has been holding you back from vision correction you should really contact us as soon as possible to set up a consultation.

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What's New

Find out What’s NEW at Bucci Laser Vision! We have regular updates on technology and patient safety as it pertains to our patients and overall eye health.

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What Are Cataracts?

A cataract is a clouding of the normally clear crystalline lens of the eye. The lens is normally extremely clear, and allows light to pass through and be focused onto the retina. When the lens is not clear, and light is impeded from passing through it, a cataract is said to be present in the lens. The term “cataract” comes from the Latin word for waterfall (cataracta) as very advanced cataracts may look white, like foamy water, and be visible to an observer with the naked eye.

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Cataract Surgery

Modern microsurgical techniques for removing cataracts have evolved and improved dramatically over the past 20 years. During this procedure, the eye's natural lens is removed because it became cloudy as a result of the natural aging process. In the early days, cataract surgery was performed only when a person could no longer see. The cloudy lens was removed in one piece through a large incision that required many stitches. Patients stayed in the hospital for days and after surgery had to wear thick, distorting cataract glasses or deal with cumbersome contact lenses to see well enough to function.

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Multifocal / Accommodative

Exciting advances in lens implant technology now allows patients to choose multifocal lens implants to correct their vision. Monofocal lens implants provide excellent vision at one point, usually distance. Multifocal lens implants provide a range of clearer vision at near, intermediate and distance, thereby allowing the performance of most daily activities with little or no dependence on traditional or progressive bifocals. Dr. Bucci will discuss the advantages and disadvantages of multifocal lenses during your free consultation.

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Multifocal IOL Videos

Bucci Laser Vision invites you to watch our Multifocal IOL videos about the Multifocal lenses used by Dr. Bucci. If you are interested in premium lens implants in the Pennsylvaia area, please watch our videos to learn how Multifocal Intraocular Lens Implants can help you see better than ever before after cataract surgery!

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Astigmatism Correction (Toric IOL)

Patients suffering from astigmatism and cataracts can benefit from a Toric IOL lens implant. The Toric IOL can be implanted during cataract surgery to cure the astigmatism and reduce your need for glasses or contact lenses after cataract surgery!

If you are suffering from astigmatism and cataracts in Pennsylvania contact Bucci Vision to learn more about Toric IOL’s and how they can help correct your vision

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Common Questions

Do you have questions about the LASIK procedure? Would you like to learn more about Dr. Bucci and the services offered at Bucci Vision in Pennsylvania? If so, please visit our Common Questions page to have your questions answered!

If you have more questions please do not hesitate to contact our office at 1-877-DR.BUCCI to schedule an appointment!

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(570) 825-5949

By Frank Bucci

Wilkes-Barre Office: 158 Wilkes-Barre Township Boulevard Wilkes-Barre , PA 18702

Brodheadsville Office: BK Plaza Rt 209 Brodheadsville, Pa. 18322

Hazleton Office: 147 Airport Beltway Hazleton, PA 18201

Mt. Pocono Office: 9 Fork Street Mt. Pocono, PA 18344

Old Forge Office: 189 N. Main Street Old Forge, PA 18518

Pittson Clinic: 49 Broad Street Pittston, PA 18640

Stroudsburg Office: 852 North 9th Street Stroudsburg, PA 18360

Scranton Office: 3 West Olive St Scranton, PA 18508

© Copyright 2012 Bucci Laser Vision. All Rights Reserved. Medical website by Glacial MultimediaBucci Laser Vision, commonly searched for as Bucchi Laser or Boochi Laser Vision, is proud to serve the Northeast Pennsylvania Region.

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The material contained on this site is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health care provider.