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

Closed

Tuesday

8:30 am - 5:00 pm

Wednesday

Closed

Thursday

8:30 am - 5:00 pm

Friday

8:30 am - 5:00 pm

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

Location

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