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

Why do I need glasses if...

July 10, 2019

There is an old adage in the eye care industry: Glasses are a necessity, contact lenses are a luxury. Ninety-nine percent of the time this is absolutely true. In the absence of unusual eye disorders or very high prescriptions that don’t allow a person to wear glasses comfortably, contact lenses should only ever be worn if there is a good, sturdy, updated set of prescription glasses available, too. This is due to the fact that ther...

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.

Transitions® Light Intelligence

Crizal® No-Glare Lenses

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