Cataract Self-Test

To help you learn if you might be a good candidate for Cataracts Treatment, please complete the form below. Our coordinator will explain your results to you, as well as the logical next step for your vision.

For optimal results, please fill out this test completely.

This short questionnaire is NOT a substitute for a proper medical examination and is simply a guide to help you work out if Cataract Surgery should be on your ‘to do’ list. The only way to know if Cataract Surgery is right for your eyes is to have a thorough Cataract Surgery evaluation.

Urgent or private medical information should NOT be sent by e-mail or via our web page. E-mail and web page inquiries are usually reviewed within 1-2 business days. Please read disclaimer below form.

Those marked with * are required for a response.


Medical and Privacy Warming − Disclaimer:

Medical Emergencies must call the office 303-486-2020 or 970-225-2300 for the doctor on call. If you are unable to establish a dialog with Dr. Cutarelli’s office in these cases, please urgently seek the nearest ophthalmologist or emergency room.

Dr. Cutarelli’s office will endeavor to promptly respond to your inquiry, but should you have an eye emergency, such as sudden loss of vision, sudden onset of severe eye pain, or sudden onset of severe eye redness,you will need urgent attention.