Online Forms

Palm Beach Eyes Online Forms

At Palm Beach Eyes, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s) and fill in the required information.

  • Fax or email us your completed form(s) or bring them with you to your appointment.

PDF File
Welcome Form
Download
PDF File
Acknowledgment of Privacy Practices
Download
PDF File
Notice of Privacy Practices
Download
PDF File
Authorization for Release of Records
(use to request records from our office)
Download
PDF File
Authorization to Acquire Records
(use to request records from another office)
Download
 
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For non-urgent questions or to learn more about our services, contact us today!