Online Forms

At Palmetto Eye, we value your time. Three (3) days before your appointment, you will receive an email with a link to fill out your new patient paperwork.  We ask that you complete this paperwork ahead of time so we can properly prepare for your visit.  



Other Forms:

Medical Records Request from your previous doctor to be sent to us.

Download & Print Form  (medical-records-release.pdf)

Medical Records Request for our records to be sent to another doctor.

Download & Print Form (patient-medical-records-release-to-another-doctor.pdf)


HIPAA Notice of Privacy Practices

notice-of-privacy-practice-091713.pdf



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Contact Us

We look forward to hearing from you

Hours of Operation

India Hook Office

Monday

8:30 am - 5:00 pm

Tuesday

8:30 am - 6:00 pm

Wednesday

8:30 am - 5:00 pm

Thursday

8:30 am - 6:00 pm

Friday

8:30 am - 5:00 pm

Saturday

Closed

Sunday

Closed

Ebenezer Office

Monday

By Appointment Only

Tuesday

By Appointment Only

Wednesday

By Appointment Only

Thursday

By Appointment Only

Friday

By Appointment Only

Saturday

Closed

Sunday

Closed

India Hook Office

Monday
8:30 am - 5:00 pm
Tuesday
8:30 am - 6:00 pm
Wednesday
8:30 am - 5:00 pm
Thursday
8:30 am - 6:00 pm
Friday
8:30 am - 5:00 pm
Saturday
Closed
Sunday
Closed

Ebenezer Office

Monday
By Appointment Only
Tuesday
By Appointment Only
Wednesday
By Appointment Only
Thursday
By Appointment Only
Friday
By Appointment Only
Saturday
Closed
Sunday
Closed

Location

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