Patient Forms

Location & Hours

15661 San Carlos Blvd Unit 4
Fort Myers, FL 33908
Phone: (239) 887-3187
Fax: (239) 985-9003

Monday	9:00am — 5:00pm
Tuesday	9:00am — 5:00pm
Wednesday	9:00am — 5:00pm
Thursday	9:00am — 7:00pm
Friday	9:00am — 5:00pm
Saturday*	9:00am — 1:00pm
	*1st Sat. of month only

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For your convenience, and to save you precious minutes during your experience with us, we have provided our office forms below. Click each to download, print, and fill out. Please contact us with any questions.

Insurance Agreement Form

Patient Information & Registration Form

Latest News

What is Minimally Invasiv...

January 21, 2020

For over 40 years the standard surgical treatment for glaucoma was a procedure called a trabeculectomy. In a trabeculectomy the ophthalmic surgeon would make a hole in the wall of eye to allow fluid from the inside of the eye to flow out of the eye and then get resorbed by the blood vessels in the conjunctiva (the mucous membrane that covers the white part of the eye). This surgery often resulted in a large decrease in the Intraoc...

Our Mission Statement

Our mission is to deliver the highest quality of vision care to our patients through compassionate, honest and excellent service. We pride ourselves on delivering eye care with a personal touch in an environment that is both welcoming and equipped with the most up-to-date technology. We strive to provide our patients with an experience that exceeds their expectations, so they are completely comfortable referring their family and friends.

Optovue - OCT Wellness Exam

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