Skip to main menu
Skip to main content
Skip to footer
(386) 734-2931
Request Appointment
About Us
Careers
Community and International Non-Profits
Meet the Team
Testimonials
Online Reviews
Blog
Doctors
Kevin Barber, M.D.
Ryan Scruggs, M.D.
Dawn Scruggs, M.D.
Bao Truong, M.D.
Arian Moses, M.D.
Phil Mackinder, O.D.
Andreea Chih, O.D.
Brian W. Jones, O.D.
Services
Cataract Eye Surgery
Refractive Lens Exchange
Oculoplastics
Cosmetics
Skincare
Dry Eye
Glaucoma
Comprehensive Eye Care
Retina
Yag Capsulotomy
Patient Information
Patient Education Videos
Patient Forms
Patient Financing & Insurance
Patient Portal
Online Bill Pay
Locations
Deland
Lake Mary
Orange City
Heathrow Surgery Center
Contact Us
Request Appointment
PHI Authorization
Home
»
Patient Information
»
Patient Forms
»
PHI Authorization
Patient Forms
Medical Records Release
Patient History
New Patient Registration
PHI Authorization
Get Started
Schedule an appointment at Central Florida Eye Specialists today!
Request Appointment
(386) 734-2931
Patient Portal
Online Bill Pay
Order Contacts
⇧