Impressions start with the eye
Impressions start with the eye

Patient Forms

Click the link below to access our New Patient Intake Forms online and submit them prior to your appointment with us.

 

Simply enter your name and email address, and a password will be emailed to you immediately to access the HIPAA compliant patient portal.

 

If you do not have an email address, you can also provide your telephone number to access the intake forms.

Intake forms and Directions to our office are also available below to print. 

New Patient Intake Forms
New patient intake forms - 2018.pdf
Adobe Acrobat document [192.6 KB]
Directions- Palm Beach Gardens
Directions - Palm Beach Gardens.pdf
Adobe Acrobat document [29.3 MB]

Insurance

We accept most types of health insurance. Please contact us for further details.

 

We will bill your visit directly to your insurance provider if you supply an updated proof of insurance at each visit. Please check with us to see if our practice is included in your health insurance network.

 
MEDICARE:
We accept Medicare patients. As a courtesy, we will also bill your secondary insurance provider directly. You will be asked to sign an Advanced Beneficiary Notice for services not covered under Medicare. You shall be accountable for covering these services.



COSMETIC SURGERY:

Please note that insurance companies and Medicare will not pay for cosmetic eyelid surgery.  There are strict criteria set forth by the Centers for Medicare and Medicaid Servies which govern whether your eyelid surgery is considered cosmetic or functional. 

Don't forget to bring your insurance information with you

In order to register and treat you promptly, we request that our patients bring their current insurance information with them for each visit.

Schedule an Appointment

4060 PGA BLVD

SUITE 101

PALM BEACH GDNS, FL

33410

 

561.845.6500

561.845.6300 fax

 

Or use our contact form.

Office Hours

Monday through Friday

8:30 AM -5:00 PM


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© Oculoplastic & Orbital Consultants, P.A.