Patient Information Update

Whether you’re an existing, or new patient, it’s important that we have updated information on you, such as recent medical history, contact information, insurance or self-pay.

Please download our Patient Information Update by clicking here.

Prior to your visit, please fax it to our office at (239) 275-9080 along with a copy of your  insurance card(s).

Or mail to:
South Florida Eye Clinic
4755 Summerlin Road, Suite 1,
Fort Myers, FL 33919

This will allow sufficient time for the registration process. You may also bring the forms with you to at the time of your first appointment along with your photo ID and Insurance card(s).

Please arrive 15 minutes earlier than your scheduled appointment time so we can prepare your chart prior to your appointment. If you can’t keep your appointment, kidly give us 24 hours advance notice if it’s possible.

If you have any questions, please call us at (239) 275-8222.