Florence, AL Patient Forms

At Florence Ophthalmology, P.C., we want to make your visit as easy as possible. For your convenience, you can download most of our pertinent forms, print them and bring them into our office already filled out when you come. This will expedite the process and you don’t have to fill out any forms while you wait to be seen.

When you schedule your appointment, feel free to ask the receptionist about any possible forms you may want to bring with you.

Printable Patient Forms:

• Authorization for Release of Information
• Notice of Privacy Practices
• Pediatric Registration Form
• Medical History Questionaire-Adult
• Medical History Questionaire-Child
• Adult Registration Form - Adult

Contact Florence Ophthalmology, P.C. today at 256-760-1771,  to ask which patient forms you may need to bring for your visit.