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

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)