Back to top

TAKE OUR
CATARACT SELF TEST
HOW WAS
YOUR VISIT?
1 3 3 4 5
TAKE OUR
LASIK SELF TEST

Patient Forms

FontResizer

To schedule an appointment, please call (727) 581-8706 or complete our request an appointment form and we will be happy to call you. We will make every effort to schedule an appointment time that is convenient for you.

Before your first visit, you will be given forms to complete. Your vital medical history along with other information will help our physicians and office provide the best care possible. We will also attempt to secure copies of your previous ophthalmic medical records. Below are our Patient History and Registration Form and our Health Insurance Portability and Accountability Act (HIPAA) Information and Consent form, which will need to be completed prior to your first appointment with us. Our Medical Records release form is also available, should you need a complete history of your ophthalmic medical records. 

Patient History and Registration Form

Heath Insurance Portability and Accountability Act Information and Consent Form

Medical Records Release Form