Skip to main content
Schedule an Eye Exam Online

North Miami Location

14585 Biscayne Blvd.
Inside Costco
Call 305-680-0155

Miami Lakes Location

16580 NW 59th Ave.
Inside Costco
Call 305-363-1846

father_daughter_ocean_beach
Home » Contact Us » Online Patient Registration Form

Online Patient Registration Form

lock icon Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office. This form contains confidential information and is delivered to your doctor through a secure Internet connection.