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Contacting Our Office

We require an email address to be on file for every patient. You must register to use our patient portal through which you may correspond with us.

You may also email us:

Technicians-[email protected]

Appointments- [email protected]

Surgery- [email protected]

Billing- [email protected]

Please note return emails are encrypted to protect your personal health information. Please follow instructions in the email to open.

Thank you for your cooperation. We believe this will help us communicate more efficiently with our patients.

Patient Forms

Help us expedite your office visit! Print and fill out your paperwork beforehand!

Please print the New Patient Form Packet and the Medical Release Form if you are coming from another eye clinic. The HIPAA form is there for your perusal at any time and does not need to be printed.

New Patient Paperwork
Medical Release Form
HIPAA Authorization Form
HIPAA Notice of Privacy Practice
Review of Symptoms Form

Information for Surgery

Please choose and print the appropriate surgery center form:

Sand Lake Surgery Center History and Physical Form
Maitland Surgery Center History and Physical Form
Orlando Ophthalmology Surgery Center History and Physical Form
Orlando Health Systems History and Physical Form (Arnold Palmer, ACC, Dr. Phillips, ORMC)
Florida Hospital (Florida Hospital Altamonte)

Clinical handouts

Amsler Grid