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

Your Meds = Dry Eyes?

September 10, 2019

Dry eye is a very common problem that affects women more than men and becomes more prevalent as people get older. It can present in many ways, with symptoms that can include a foreign body sensation, burning, stinging, redness, blurred vision, and dryness. Tearing is another symptom and occurs because the eye initially becomes irritated from the lack of moisture and then there is a sudden flood of tears in response to the irritation....

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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