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Patient Forms

If you are a new patient to our office or your last visit with our doctor was more than 3 years ago, you will need to fill out the paper work below. You may fax, email or bring in the paperwork with you on the day of the exam.

Welcome Form (Please complete this and the form below before your appointment)

HIPAA Form (Please complete this and the Welcome form before your appointment)

New Contact Lens Wearer (Please complete this form in addition to the two forms above)

Previous Contact Lens Wearer (Please complete this form in addition to the first two forms)

Email: contactus@yourorlandooptometrist.com
Fax: Waterford location: 407-382-8785
Fax: Florida Mall Location: 407-438-0112