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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

Information for Surgery

1. Please print the following cover letter along with the appropriate surgery center form:

Surgery History and Physical Cover Letter for PCP

2. Choose 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


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