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At Mez Mer Eyes, 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 AdobeReader® to download and complete the forms. Click here to download.
  • 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.

New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

Download & Print Form


Download the Free AdobeReader®

Exclusive Offer

THIS ---->https://mymezmereyes.imatrixbase.com/online-forms.html

Office Hours

Monday through Friday 10:00-5:30
Most Saturdays 10:00-3:00
DayMorningAfternoon
Monday10:00am5:30pm
Tuesday10:00am5:30pm
Wednesday10:00am5:30pm
Thursday10:00am5:30pm
Friday10:00am5:30pm
Saturday10:00am3:00pm
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
10:00am 10:00am 10:00am 10:00am 10:00am 10:00am Closed
5:30pm 5:30pm 5:30pm 5:30pm 5:30pm 3:00pm Closed

Testimonial

My husband and I came in to see Dr Kaplan today and we were very happy with the professionalism and service we received from the Dr and all of the staff. We are so looking forward to keeping their office as our eye care providers for years to come! Thank you! We will definitely recommend your office to everyone we know.

Annette B.
Crystal River, FL

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