COVID-19 Update-Please click HERE to view our latest update with the ongoing situation.

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Patient Forms

Access our patient forms that you can fill out before your next visit at Millennium Eye Center, Orlando, Florida.

Patient Information Form
CLICK HERE to complete and submit your New Patient Form online. This step is required for new patient. It will help you save time completing paperwork in the office.

HIPAA Notice of Privacy Practices
CLICK HERE to read our Notice of Privacy Practices.

HIPAA Acknowledgement and Patient Consent Form 
CLICK HERE to print, sign and bring this form to your next office visit! This process will help you save time filling out paperwork in the office.

Justin’s Retinal Evaluation Form
CLICK HERE to print this form!