We’re excited to announce that Dr. Al-Kaabi, Cornea Specialist and Surgeon, has joined iCare!

Pre-Op Questionnaires

The Cataract Surgery Pre-Op Questionnaire reviews the relevant details that factor into choosing an intraocular lens (IOL) for your cataract surgery. At your appointment, one of our staff will review your IOL options and make a suggestion based on the lifestyle and preferences you provide.

Please follow the instructions below to print off the following document and bring it to your scheduled appointment.

1. Click the Downloads button (downward arrow) in the top right corner of your browser, or click the “Download Questionnaire” button below

2. Print out the form and fill it out as necessary

3. Bring the form to your appointment

Pre-Op Health History Questionnaire - The Ottawa Hospital

The Pre-Op Health History Questionnaire gives The Ottawa Hospital (TOH) a full review of your health history for the day of your surgery. This information is sent to TOH from iCare staff.

If your surgery is with Dr. Li, please disregard this form and complete the Smiths Falls Hospital Questionnaire provided below.

Please follow the instructions below to print and fill out this form. Bring this form to your scheduled appointment to save time doing it in-clinic.

1. Click the Downloads button (downward arrow) in the top right corner of your browser, or click the “Download Questionnaire” button below

2. Print out the form and fill it out as necessary

3. Bring the form to your appointment

Pre-Op Health History Questionnaire - Smiths Falls Hospital

Please complete this form only if your surgeon is Dr. Cody Li.

The Pre-Op Health History Questionnaire gives Perth and Smiths Falls District Hospital a full review of your health history for the day of your surgery. This information is sent to Perth and Smiths Falls District Hospital from iCare staff.

Please follow the instructions below to print and fill out this form. Bring this form to your scheduled appointment to save time doing it in-clinic.

1. Click the Downloads button (downward arrow) in the top right corner of your browser, or click the “Download Questionnaire” button below

2. Print out the form and fill it out as necessary

3. Bring the form to your appointment