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Florida Eye Specialists
Excellence in Eye Care.
904-564-2020
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Home
About
About Us
Patient Testimonials
Florida Eye Cares
Our History
In the News
Careers
Specialties
Cataract Center
LASIK Center
Cosmetic Center
Sports Vision Training Center
Dry Eye Center
Glaucoma Center
Cornea Center
Oculoplastics Center
Medical Retina Center
Research & Clinical Trials
Meet Our Team
Amit Chokshi, M.D.
Kathryn B. Freidl, M.D.
S. Akbar Hasan, M.D.
Leah Kammerdiener, M.D.
Wassia Khaja Ahmed, M.D.
Kenzo J. Koike, M.D.
David A. Kostick, M.D., F.A.C.S.
McGregor N. Lott, M.D.
Jerry Maida, M.D.
Rachana Patel, M.D.
Ravi Patel, M.D.
Rajesh K. Shetty, M.D.
John Vassallo, M.D.
Ashley Cowart, O.D.
Kimberly Riordan, O.D.
Patient Resources
At-Home Eye Test
Video Library
Articles & Blogs
Insurances Accepted
Financing Options
Patient Forms
Patient Portal
HIPAA & Privacy Policy
Locations
Mandarin
Northside
Palatka
Ponte Vedra
Riverside
San Marco
Southside
St. Augustine
Fernandina Beach (Coming Soon)
Home
About
About Us
Patient Testimonials
Florida Eye Cares
Our History
In the News
Careers
Specialties
Cataract Center
LASIK Center
Cosmetic Center
Sports Vision Training Center
Dry Eye Center
Glaucoma Center
Cornea Center
Oculoplastics Center
Medical Retina Center
Research & Clinical Trials
Meet Our Team
Amit Chokshi, M.D.
Kathryn B. Freidl, M.D.
S. Akbar Hasan, M.D.
Leah Kammerdiener, M.D.
Wassia Khaja Ahmed, M.D.
Kenzo J. Koike, M.D.
David A. Kostick, M.D., F.A.C.S.
McGregor N. Lott, M.D.
Jerry Maida, M.D.
Rachana Patel, M.D.
Ravi Patel, M.D.
Rajesh K. Shetty, M.D.
John Vassallo, M.D.
Ashley Cowart, O.D.
Kimberly Riordan, O.D.
Patient Resources
At-Home Eye Test
Video Library
Articles & Blogs
Insurances Accepted
Financing Options
Patient Forms
Patient Portal
HIPAA & Privacy Policy
Locations
Mandarin
Northside
Palatka
Ponte Vedra
Riverside
San Marco
Southside
St. Augustine
Fernandina Beach (Coming Soon)
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Consultation Request Form
Click to download the consultation request form (PDF).
Co-Management Forms
Please fill out the form below to request additional forms, manuals or other documents. Our Physicians Liaison will get back to you promptly.
First Name
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Last Name
*
Practice Name
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Email Address
*
Best Contact Number
Documents Needed:
Co-Management Consent Form
Co-Management Post-Op Form
Cataract Surgery Co-Management Manual
Refractive Surgery Co-Management Guide
Other (Please describe in comments)
Comments/Questions
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