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Request an Appointment

Please do not use this form if you have an urgent medical problem or you need to reschedule an existing appointment. Instead, contact our office in Aventura, Florida at (305) 945-7433 or in Delray Beach, Florida at (561) 499-0232. After you submit your request, our appointment scheduler will respond within 48 hours. See below for forms to complete.

Patient Registration Forms

Jaffe Eye Institute welcomes you to our practice. We serve Miami, Delray Beach in Palm Beach County, and surrounding Florida communities. Once you have made your initial appointment, you may pre-register by downloading, printing, and completing the forms below. Doing to prior to your visit will help speed up the new patient registration process.

Please be sure to bring the forms with you to your first visit, along with any diagnostic films or other test results that may have been ordered or performed by another physician.

Downloadable Forms:

Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

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