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Patient Forms

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Refer a Patient
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Cataract Patients

Welcome Letter

Patient Statement of Rights and Responsibilities


Planning for your eval form

Summary Patient Bill of Rights and Responsibilities

Lifestyle Surgical Options Tarpon Springs Surgical Center

Lifestyle Surgical Options Wesley Chapel Surgical Center

New and Existing Patients


Lasik/Refractive Patients

Refractive Evaluation Health History


Hearing Patients

Hearing Services New Patient Form

Hearing Services Questionnaire

St. Luke’s at the Villages Patients

Patient Statement of Rights and Responsibilities – St. Luke’s at The Villages

Notification Regarding Patient Rights – St. Luke’s at The Villages

Our Locations

We proudly serve patients at our eye clinics in Tarpon Springs, Tampa, St. Petersburg, Clearwater, Spring Hill, Wesley Chapel and in The Villages at Lake Sumter Landing and Brownwood. Our philosophy is to treat those we serve as though they are a member of our own families. From the first phone call or email to the follow-up visit and beyond, we’re here to serve you. Our goal is to help preserve and optimize your vision.

43309 US Highway 19 N
Tarpon Springs, FL 34689
501 S. Fort Harrison Ave
Clearwater, FL 33756
187 Mariner Boulevard
Spring Hill, FL 34609
9400 9th Street N.
St. Petersburg, FL 33702
13303 N. Dale Mabry Highway
Tampa, FL 33618
1050 Old Camp Road, STE 230
The Villages, FL 32162
2955 Brownwood Blvd. Suite 303
The Villages, FL 32163
25232 State Road 54
Lutz, FL 33559

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