New Patients & Forms

Welcome to Pediatric Eye Consultants of North Florida!

Thank you, we appreciate your time and look forward to meeting you. To expedite your registration process, our New Patient Forms are available online. You will receive a link in your email to complete required forms online.

Patient Forms & Registration

All new patients will receive a patient registration link approximately 3 days prior to your appointment via text or email.

New Patient Forms:

Private Health Information/Authorization
Medical Release
Authorization for PECNF to release PHI
Vision Versus Medical Insurance
What is CareCredit™
Payment Policy
Financial Policy
Privacy Policy
Notice of Privacy Practices
FPA Notice of Non-Discrimination & Accessibility
Website Terms of Use

Patching Pirate App for iPhone and iPad

Download the Patching Pirate App and make patching fun! Developed by an Orthoptist with 30 years’ experience patching children, Patching Pirate will encourage and motivate your child to patch. Your child can earn gold from patching to buy accessories for their avatar. Download Here