Eye Physicians of Central Florida


Patient Forms


Cataract Surgery Florida New Intraocular Lens Technology
Cataract patients now have an option to see at both near and far distances after cataract surgery! Individuals suffering from cataracts previously had only a mono-focal lens implant option after surgery. NEW multi-focal, accommodating and astigmatic correction IOL technology can now decrease dependence on glasses after surgery. These include the AcrySof® ReSTOR® IOL, TECNIS® Multifocal IOL, and the AcrySof® Toric IOL. If you are seeking one of these options, please feel free to consult our staff.
Pediatric Ophthalmology
We are proud to provide excellence in pediatric eye care services with recognized leaders in Pediatric Ophthalmology. Dr. Gold, Dr. Blumenfeld, Dr. Ikeda, Dr. Adams, and Dr. Hered also treat adult eye muscle disorders. If you are seeking child vision care in Florida, please make sure to contact us. Our practice has placed a unique emphasis on this type of eye care. Our pediatric eye care services in Florida include crossed eye correction, blocked tear ducts, lazy eye or amblyopia, retinopathy and children's eye exams.

Patient Forms


Bring the completed documents with you to your appointment. Forms are in Adobe PDF format (.pdf)

Patient Registration:
English - Click here for Patient Registration Form
Español
- Haga clic aquí  para  Hoja de Información para pacientes

Click here for Parent/Guardian Permission List

Authorization To Use Or Disclose Personal Health Information:
Please Click here to download and print this document for medical records release.

Financial Policy:
Please click here to download and print this document.

Refraction Notice:
English - Please Click here to download and print this document.
Español - Por favor haga clic aquí para  bajar e imprimir este documento.