Download & Print Our Forms

Acknowledgement of Receipt

Authorization of Payments

Patient Info

Refraction Policy

Statement of Policies

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Office Locations

  • 1034 Riverside Avenue
    Jacksonville, FL  32204
    Phone (904) 354-2114
    Fax (904) 354-2122
  • 1411 South 14th Street, Suite G
    Fernandina Beach, FL 32034
    Phone (904) 354-2114
    Fax (904) 354-2122