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| 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 321-984-3200 for assistance or email us your questions at cgkrajewski@brevardeye.com.
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:
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Paul J. Befanis, MD |
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Rafael Trespalacios, MD |
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Daniel J. Lutz, MD |
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David J. Strunk, OD |
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Mark R. Fisher, OD |
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Camilla J. Quirie, OD |
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David D. Hendrix, OD |
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Dominic J. Pastore, OD |
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Paula S. Mintchell, OD |
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Jenifer J. Ramsower, OD |
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Shea Eagerton, OD |
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We have links to several other sites that may help you |
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Schedule a consultation with our doctors. Tell us when you would like to visit. |
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