904-829-2286
Order Contacts
pay-icon
Online Bill Pay
Schedule an appointment
About Us
Testimonials
Careers
Blog
Doctors
Todd P. Thompson, M.D.
Russell W. Nelligan, M.D.
Michael A. Dagostino, O.D., FAAO
Todd S. Hockett, O.D.
Peter Stan, O.D.
Eye Clinic
Cataracts
Cornea
Glaucoma
Macular Degeneration
Diabetic Retinopathy
Dry Eye Treatment
Comprehensive Eye Exams
Specialty Contact Lenses
Surgery Center
Cataract Surgery
Laser Surgery
Ophthalmic Plastic Surgery
Optical
Patient Resources
Financing Options
Patient Portal
Online Bill Pay
New Patient Forms
Medical Records Release
Policies
Locations
St. Augustine
Palm Coast
World Golf Village
Palatka
Contact
Contact Us
Request an Appointment
(904) 829-2286
Home
»
Patient Resources
»
New Patient Forms
New Patient Forms
New Patient form
Office Policy for Signature
Related Pages
Patient Resources
Financing Options
Medical Records Release
Online Bill Pay
New Patient Forms
Policies
904-829-2286
Request an Appointment
Our Locations
Order Contacts
Contact
Us
Request an
Appointment
Our Locations
X
WARNING:
Internet Explorer does not support modern web standards. This site may not function correctly on this browser and is best viewed on
Chrome
,
Firefox
or
Edge
browsers.
Learn More
.
Please ensure Javascript is enabled for purposes of
website accessibility
Order Contacts
Schedule an appointment
