Patient Forms

We are so glad that you chose Retina Consultants of Southwest Florida for your retina health needs. Below you will find forms and other information that you can download and print out.

For all patients, please make sure to bring the following with you to each visit:

• Your Drivers’ License or Photo ID
• Your current health insurance cards
• Any updated contact information such as an address, phone number, or email address
• Your prescription glasses
• Sunglasses to wear after your appointment
• A driver since your pupils will be very dilated and your vision will be blurry after your appointment
• For New Patients, please print out, review, and complete the New Patient Forms

New Patient Forms
Medical Release Form
Injection Instructions
Laser Treatment Instructions

Please contact our office with any questions or concerns at (239) 939-4323 or (800) 282-8281.