For Patients

Convenient 24-Hour Access

New Patient Registration Forms

Easy registration for faster processing at check-in
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New Patient Form Packets

Click Here & Access Forms

Along with all forms included in your New Patient Packet, please also complete the following two forms and bring all forms with you.

By providing us with the signed HIPAA Patient Signature Form you acknowledge with your signature that you have read and fully understand the Florida Retina Institute privacy policies, as explained in the HIPAA Privacy Policy document.

In order to expedite the new patient registration process, we kindly ask you to follow and complete these easy steps and bring all of the forms with you to your first appointment.

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Bring Forms