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. Name Question Title * 1. Name Telephone Number (please include area code): Question Title * 2. Telephone Number (please include area code): Email Address: Question Title * 3. Email Address: Have you been diagnosed with cataracts in both eyes? Question Title * 4. Have you been diagnosed with cataracts in both eyes? Yes No Do you have health insurance? Question Title * 5. Do you have health insurance? Yes No Are you covered under Medicaid? Question Title * 6. Are you covered under Medicaid? Yes No Are you a resident of South Carolina? Question Title * 7. Are you a resident of South Carolina? Yes No Done