Eye Associates of Fort Myers and Southwest Florida - Serving Fort Myers and Naples, Florida

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Fort Myers
(239) 936-7685

Naples
(239) 593-7747

Mon-Fri, 8am-5pm

For your convenience, our first visit forms are provided below. Please print and fill out these forms and bring them to your first visit.

New Patient Form

New Patient Health History Form

Privacy Practices Acknowledgement

Note: If you have trouble viewing the forms, please make sure you have Adobe Acrobat Reader installed on your computer. You can download it for free here.


	Copyright © 2007 Eye Associates of Fort Myers and SW Florida • Medical Disclaimer


	Our Mission
	Our Reputation
	Our Symbol
	Why Eye Associates?


	Cataracts
	Glaucoma
	Blepharoplasty
	Diabetes
	Dry Eye
	Macular Degeneration
	LASIK


	Signs of Problems
	Amblyopia ('Lazy Eye')
	Conjunctivitis ('Pink Eye')
	Strabismus