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Retina doctor and surgeon in Palm Harbor, Florida

Retina doctor in Tarpon Springs, Palm Harbor, Florida Dana Deupree, MD - Tampa Bay retina surgeon Macular Degeneration, Diabetic Retinopathy, Floaters information - Tampa Bay Make an appointment for a retina doctor in Palm Harbor, Florida Contact a retina doctor Lucentis, Avastin, Macugen treatment in Palm Harbor, Florida Search for eye and retina information

Download and Print Patient Forms

We appreciate and value your time, so we've created downloadable forms in order to expedite your visit with us.  Download and print the forms below and fill them out.  Coming prepared will save you some time on the day of your visit!

Please click on the links below to download and print your forms.  Completion of each of these forms is required in order to better serve you as a patient.

For New-Patient Forms, click here.

Dr. Deupree's welcome message

Forms List:

History Form
HIPPA Form
Patient Info Form
Insurance Signature Form
Records Release (to have your other doctor's office send Dr. Deupree your medical records)
Doctor-Patient Arbitration
 

 

*PATIENT FORM DOWNLOADS

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Tampa Bay eye and retina doctor, Dana M. Deupree, M.D.

» Meet Doctor Deupree, Vitreo-Retina Surgeon & Physician

Dr. Deupree - retina eye doctor in Pinellas County, Florida
Eye information search


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» Eye Conditions Search
» LucentisTM
» Macular Degeneration
» Diabetic Retinopathy
» Vitrectomy surgery


Lucentis and Avastin - New treatment for Macular Degeneration
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from our patients!


Common eye procedures information
» Avastin Injection for macular degeneration
» Visudyne Photodynamic Therapy
» Fluorescein Angiography
» Optical Coherence Tomography
» Much more >>


Eye surgery in Tarpon Springs, Florida
» Vitrectomy is beneficial for many retina conditions
» Dr. Deupree's sutureless technique keeps things simple