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Before your first visit, please click on the appropriate form(s) below, print and fill out completely to ensure that you are seen as quickly as possible when you arrive.
Thank you.
Click on the links below to download required forms.
Medical Information Release Form
Consent For Treatment of Minors
ASC Ophthalmology Authority to Release Information
Click on the links below to download required forms.
At Florida Eye Associates, your privacy is important to us. Before your first visit, please click on the Notice of Privacy Practices Form below to view our privacy practices. Print and fill out the Notice of Privacy Practices Acknowledgement Form to ensure that you are seen as quickly as possible. Thank you.
Visual Field 30 minutes
Optical Coherence Tomography (patient may be dilated) 15 minutes
Photos (dilated) 30 minutes
Refraction (dilated) 30 minutes
LASIK testing (dilated) 2 hours
Glaucoma testing (dilated) 2 hours
Office Visit with Tests 2 or more hours
Click on the links below for more information regarding eye health:
502 E New Haven Ave
Melbourne, FL 32901
Phone: 321-727-2020
Hours:
8:00 am – 4:30 pm – Monday – Friday
161 Malabar Road NE
Palm Bay, Florida 32907
Phone: (321) 727-2020
Fax: (321) 726-4061
Hours:
8:00 am – 4:30 pm – Monday – Friday
5510 Murrell Road
Melbourne, Florida 32940
Phone: (321) 727-2020
Fax: (321) 726-4061
Hours:
8:00 am – 4:30 pm – Monday – Friday
2003 N. Atlantic Avenue
Cocoa Beach, Florida 32931
Phone: (321) 727-2020
Fax: (321) 726-4061
Hours:
8:00 am – 4:30 pm – Monday – Friday
509 East New Haven Avenue
Melbourne, Florida 32901
Phone: (321) 727-2020
Fax: (321) 726-4061
Hours:
8:00 am – 4:30 pm – Monday – Friday
8:00 am – 11:00 am – Saturday
719 E. New Haven Ave.
Melbourne, Florida 32901
Phone: 321-984-4405
Open:
Monday – Friday
© 2023 Florida Eye Associates. Privacy Policy
