Office Forms And Documents

Patient Forms

The Palmetto Ophthalmology Associates provides our patients with office forms for your convenience. We recommend you print and fill these forms prior to your appointment to save time.

Note: These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here.


Demographic Form


HIPAA Form


Patient Questionnaire


Notice of Privacy Practices

Right to receive a good faith estimate of expected charges