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Online Forms

At Vision Care and Surgery Associates, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReaderĀ® to download and complete the forms.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.


Notice of Privacy

Notice of Privacy Practices.pdf.pdf
Adobe Acrobat Document 2.4 MB
Download


Acknowledgment of Receipt (English)

Acknowledgement of Receipt (English).pdf
Adobe Acrobat Document 318.0 KB
Download


Acknowledgment of Receipt (Spanish)

Acknowlegment of Receipt(Spanish).pdf
Adobe Acrobat Document 397.1 KB
Download


Patient Information Form

Patient Information.pdf.pdf
Adobe Acrobat Document 799.2 KB
Download



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Contact Us

We look forward to hearing from you.

Our Location

Hours of Operation

Our Regular Schedule

Hialeah Office

Monday:

9:00 am-5:00 pm

Tuesday:

9:00 am-5:00 pm

Wednesday:

9:00 am-5:00 pm

Thursday:

9:00 am-5:00 pm

Friday:

9:00 am-5:00 pm

Saturday:

9:00 am-2:00 pm

Open Second Saturday of the Month

Sunday:

Closed

Weston Office

Monday:

8:00 am-6:00 pm

Tuesday:

8:00 am-6:00 pm

Wednesday:

8:00 am-6:00 pm

Thursday:

8:00 am-6:00 pm

Friday:

8:00 am-4:00 pm

Saturday:

8:00 am-2:00 pm

Open Fourth Saturday of the Month

Sunday:

Closed