Patient Forms & Policies
The Eye Center of North Florida is committed to providing you with outstanding care. Here you will find useful information about your rights and responsibilities as a patient, policies and other important patient information. If you have questions, please do not hesitate to contact us at (850) 784-3937.
Policies & Notices
- Notice of Privacy Practices
- 21st Century Cures Act: No Information Blocking
- Notice to Patients- Corporate Relationships
- Notice of Non-Discrimination — download information
- Multi-Language Notice of Interpreter Services– download information
- Medical Records Release Request
These forms are in Adobe Reader PDF format and require that you have Adobe Reader installed, which can be downloaded for free. Click here to download Adobe Reader.