Retina doctor in Clearwater, Florida  

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 Macular Degeneration specialist in Tampa Bay area
Macular Degeneration doctor in Clearwater, Tampa Bay area, Florida

Retina Doctor in Clearwater, Florida    

Retina doctor in Tarpon Springs, Clearwater, FloridaDana Deupree, MD - Tampa Bay retina surgeonMacular Degeneration, Diabetic Retinopathy, Floaters information - Tampa BayMake an appointment for a retina doctor in Clearwater, FloridaContact a retina doctorLucentis, Avastin, Macugen treatment in Clearwater, FloridaSearch 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
HIPAA 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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The Macula Center is a vitreo-retina practice serving the Tampa Bay area, including Clearwater, Pinellas, Hillsborough and Pasco Counties.

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The information provided on this website is for informational purposes only and is not intended to substitute, supplant or augment any advice from your physician or other health care professional or medication label. You should not use the information on this site for diagnosis or treatment of any eye or health problem or for prescription of any medication or other treatment. You should consult with a healthcare professional before starting any diet, exercise or supplementation program, before taking any medication, or if you have or suspect you might have a health problem. You should not stop taking any medication or change your course of treatment without first consulting your physician.  The Macula Center does not endorse, guarantee or make any claims for or about any products or information linked to from this website.

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Dr. Dana M. Deupree, MD
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