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Panhandle Forms

For your convenience, we have made a number of forms available for patients to download. If you are new to our practice, we encourage you to download and print out the new patient forms. Filling these out in advance of your first visit will minimize the time you spend in the waiting room filling them out when you get here. Other forms are informational. If your doctor has given you a form with specific information or instructions different from the information on these online forms, rely on the information given to you by your doctor, not on the online forms. If you're not sure which forms you need, please call 850-438-1277 for assistance or email us your questions at rlipsey@icareventrues.net.

If you're unable to open these files, you probably need to download the free Adobe Acrobat Reader program, which is available at the following location: www.adobe.com/products/acrobat/readstep.html

Click on the forms you would like to download:

 

 

 

VISIT US AT: Panhandle Vision Institute-Gulf Breeze 1040 Gulf Breeze Parkway, Suite 210, Gulf Breeze, FL 32561
PH: 850-438-1277/800-657-1436
EMAIL: email.panhandlevisionistitute.com


Meet the Doctors
·  Our Doctors
·  Courtney J. Ray, M.D.
·  Barry Concool, M.D.
·  Carl H. Spear, O.D.
·  Katie Gilbert, O.D.
·  Kelly A. Martin, O.D.

Payment Options
·  Affordable Payment Options
·  Flexible Spending Accounts

Appointments
· Schedule a consultation with our doctors. Tell us when you would like to visit.

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