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Ages 20 - 40
Ages 40 - 60
Ages 60 - 80

Patient Forms to Have During Your Visit


New Patient Form
Click here if you are a new patient and want to save time by printing and completing the forms before your appointment. Please remember to bring them with you.

Established Patient Forms
Click here if you are an established patient and want to update your forms before your appointment. Please print and complete them. Remember to bring them with you for your appointment.

Cataract Evaluation
Click here if you have an appointment for a cataract evaluation and you want to save time. Please print and complete these forms as well as the new or established patient forms described above. Remember to bring them with you for your appointment.
LASIK Consultation
Click here if you have an appointment for a LASIK consultation. Please print, complete, and bring it with you to your appointment.

 

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Please schedule a personal consultation if you would like to learn whether you are a candidate for general ophthalmology treatments, cataract surgery or LASIK surgery in West Palm Beach or Delray Beach.

901 N. Congress, Ste 104  |  Boynton Beach, Florida 33426   |  Phone: 1-877-736-2020

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