Please complete and submit the form below.
New Patient Check-in FormFor your safety and the safety of our team, we now offer touch free patient check-in. As of January 2, 2022, we will no longer perform physical check-in at our office. All patient documents and payment information must be submitted on line. Please complete this form to complete your check-in for your upcoming appointment. We must receive this form 24 hours before your exam or we may have to reschedule your appointment. Thank you trusting us for your eyecare needs. Please call/text us at 407-292-9812 for any questions.
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