Download new patient forms

Please download and complete these forms for your first appointment with us.

NewPxInfoLink

(Right-click and select "Save link as" to download)

We welcome Medicare patients and participate in most health care plans. As we are continuously adding plans, please contact your insurance provider to verify plan participation.

Hospital Affiliates:

  • Florida Hospital Waterman

  • Leesburg Regional Medical Center

  • The Villages Regional Hospital


Payment:

You are responsible for your Lake Eye Associates charges. Payment is expected at the time services are rendered. For your convenience we accept Master Card, Visa, and Discover as well as checks and cash. Please make any special payment arrangements in advance. Eye glasses require a 1/2 down payment when ordered and the remainder of the charge is due when they are picked up.

Lake Eye Associates is prepared to file insurance claims for charges incurred at our clinic. In many cases your medical or eye care insurance will cover these charges. Please be sure to notify us of any insurance plans or changes you may have when you make your appointment.

Tell us about your specific insurance circumstances:

Name: 
E-Mail: 
Phone:

Please describe your insurance circumstances: