Cataract Surgery Prescreening Cataract Surgery Prescreening Your inquiry is very important to us. Please provide the information below and someone will be in contact you soon. * 1. Name * 2. Telephone Number (please include area code): * 3. Email Address: * 4. Have you been diagnosed with cataracts in both eyes? Yes No * 5. Do you have health insurance? Yes No * 6. Are you covered under Medicaid? Yes No * 7. Are you a resident of South Carolina? Yes No Done