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Online Forms

At Southwest Florida Eye Care, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

Records Release Authorization
Patient Information
Medical History


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Contact Us

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Locations

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Hours of Operation

Our Regular Schedule

Fort Myers Office

Monday:

8:00 am - 6:00 pm

Tuesday:

8:00 am - 5:00 pm

Wednesday:

8:00 am - 5:00 pm

Thursday:

8:00 am - 5:00 pm

Friday:

8:00 am - 5:00 pm

Saturday:

Closed

Sunday:

Closed

Naples Office

Monday:

8:00 am - 5:00 pm

Tuesday:

8:00 am - 5:00 pm

Wednesday:

8:00 am - 5:00 pm

Thursday:

8:00 am - 5:00 pm

Friday:

8:00 am - 5:00 pm

Saturday:

Closed

Sunday:

Closed

Cape Coral Office

Monday:

8:00 am - 5:00 pm

Tuesday:

9:00 am - 6:00 pm

Wednesday:

8:00 am - 5:00 pm

Thursday:

8:00 am - 5:00 pm

Friday:

8:00 am - 5:00 pm

Saturday:

Closed

Sunday:

Closed