Patient Forms

We offer a convenient online check-in process before your scheduled appointment.

A link should have been sent to your phone and/or email on file to complete the proper paperwork.

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

Request For Permission of Protected Health Information:
Please click here to download and print this document for medical records release.

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

Privacy Policy (HIPAA):
Please click here to view this document

 

Gift Card2020 - Patient Appreciation Drawing
For the year 2020 we are designing new ways to show appreciation to our patients that arrive 20 minutes early for their scheduled appointments. Each appointment that you arrive 20 minutes early for, you will be entered into a monthly drawing. At the end of each month we will draw one winner.

407-767-6411
Serving Central Florida areas not exclusive to Orlando, Maitland, MetroWest, Winter Park, Lake Mary, Oviedo.
Central Florida Counties: Orange and Seminole County

All Rights Reserved. Copyright © 2020. Eye Physicians of Central Florida.

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Privacy Policy (HIPAA)