Advanced Cataract & Glaucoma PLLC Patient Forms
Please click below to access PDF forms.
- Release of Information Form
- Financial Policies and Procedures
- Privacy Practices Form
- Primary Physician Form
- Medical Records Request Form
- Consent to Treat Form
- Cataract Surgery Consent Form
- Seven Ways To Protect Your Eyes From Age-Related Macular Degeneration
- Downloadable Hudson Location Map
- Downloadable Clearwater Location Map
Serving the following cities and counties in Florida
Pinellas, Pasco, Hernando and Hillsborough counties and the cities of Hudson, New Port Richey, Port Richey, Spring Hill, Trinity, Palm Harbor, Brooksville, Greater Tampa Bay, Clearwater, St. Petersburg and the surrounding areas of West Central Florida.
Accepting Medicare and most major health insurance carriers. We look forward to serving you and the Tampa Bay area!
Contact Us
Advanced Cataract & Glaucoma Care, PLLC
Tampa Bay Area Ophthalmology Services
Pasco: Hudson FL Ophthalmology Clinic
7515 State Road 52 Suite 104 • Hudson, FL 34667-6757
Phone: 727-300-0299 • FAX: 727-249-0969
Pinellas: Clearwater FL Ophthalmology Clinic
3001 Eastland Blvd Ste 1 • Clearwater, FL 33761-4104
Phone: 727-400-3216 • Fax: 727-249-0969
Serving the following cities and counties in Florida
Pinellas, Pasco, Hernando and Hillsborough counties and the cities of Hudson, New Port Richey, Port Richey, Spring Hill, Trinity, Palm Harbor, Brooksville, Greater Tampa Bay, Clearwater, St. Petersburg and the surrounding areas of West Central Florida.
Accepting Medicare and most major health insurance carriers. We look forward to serving you and the Tampa Bay area!
Contact Us
Advanced Cataract & Glaucoma Care, PLLC
Tampa Bay Area Ophthalmology Services
Pasco: Hudson FL Ophthalmology Clinic
7515 State Road 52 Suite 104 • Hudson, FL 34667-6757
Phone: 727-300-0299 • FAX: 727-249-0969
Pinellas: Clearwater FL Ophthalmology Clinic
3001 Eastland Blvd Ste 1 • Clearwater, FL 33761-4104
Phone: 727-400-3216 • Fax: 727-249-0969
