Patient Forms

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. 

Patient Forms

Click on the links below to download required forms.

Patient Registration Form 

Medical History Questionnaire

Medical Information Release Form

Privacy Policy Forms

Click on the links below to download required forms.

Notice of Privacy Practices

Notice of Nondiscrimination

Notice of Privacy Practices Acknowledgement Form

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.

What to Expect

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

Meet Our Doctors