Skip to main content

Your Optometrist and Optical Boutique in Lantana, FL

contact_lens_on_finger
girl%20with%20blue%20eyes%20in%20black%20and%20white%20coat%20slide.png
woman_machine4
Home » Contact Us » Patient Registration Form

Patient Registration Form

Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office.

This form contains confidential information and is delivered to your doctor through a secure Internet connection.

x

We will be closed the week of March 30th through April 5th. If you need to order contacts or need optical services

Please call us at 561-582-3383 and leave a message or email us at eyecare@eyecaredoctors.com