For your convenience, we have made a number of forms available for patients to download. If you are new to our practice, we encourage you to download and print out the new patient forms. Filling these out in advance of your first visit will minimize the time you spend in the waiting room filling them out when you get here. Other forms are informational. If your doctor has given you a form with specific information or instructions different from the information on these online forms, rely on the information given to you by your doctor, not on the online forms.
To download a form, click on a link from the list below:
- New Patient Registration Form
- Laser Vision Correction Procedures Frequently Asked Questions
- Laser Vision Provider Checklist
- Amsler Grid (Home Test for Macular Degeneration)
- Records Release to Another Physician
- Request for Records from Another Physician
- Records Release to Self
- Notice of Privacy Practices
If you’re not sure which forms you need, please call 239-542-2020 for assistance or email us your questions at email@example.com.