For Your Convenience

Online Patient Forms

To expedite services at Vision Eye Gallery in Orlando, FL, the Patient Information Form can be printed, filled out and taken to our office on your appointment date.

Patient Information Form

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The following form is used for patients to request files from Vision Eye Gallery.

Patient Information Form

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The following form is used for Vision Eye Gallery to request files from another medical office.

Info Request (VEG request) 

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Health Insurance Portability and Accountability Act of 1996 (HIPPA)

HIPPA Policy

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