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Patient Forms

Please use the following links for your Electronic Paperwork.

New Patient Paperwork

Existing Patient – Updates

Contact Lens Wearers Agreement

Dry Eye Questionnaire (Adults Only)

If you would rather print and fill out, please use the links below to download.

You should be aware that we will need a little extra time to get all of this information entered if you bring the forms into the office. Therefore, we need you to come 20 minutes earlier than your appointment time.

Please bring your insurance cards, identification, a list of your current medications, and your all of current eyewear.

For your convenience, we have created a different page to provide you with a list of the insurance carriers we accept at our Fort Myers optometric office.