7740 Point Meadows Drive Suite 3A, Jacksonville, FL 32256
904-615-9500
800 Zeagler Drive Suite 400, Palatka, FL 32177
386-866-3400
2450 Old Moultrie Road Suite 101, St. Augustine, FL 32086
904-615-8900
406 Riverside Drive, Waycross, GA 31501
912-452-2700

Physician Resources

Our goal at Southeastern Retina Specialists is to make your patient’s visit as pleasant and hassle-free as possible.  We treat our patients like part of our own family, because their vision is our mission!  Please print the forms below and ask the patient to complete and bring the forms to the appointment along with their insurance card and driver’s license.  This will speed up the check-in process.   Please also let the patient know that the visit will include having their eyes dilated, diagnostic testing and examination.  Depending upon the complexity of the patient’s disease and treatments required, the entire process may take as much as 2-3 hours so please remind the patient to bring something to read and maybe even a snack.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.