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New patient paper work can be completed and mailed to:
Eye Care Associates of Sarasota
1219 South East Ave #105 Sarasota, FL 34239 (Please note that our mail can take 5-7 days to arrive, even if mailed in Sarasota)
Be Advised: Patient paper work may be unavailable to pull up on some apple products.
You can also : FAX forms to 941-954-1835 and/or Email our office at cburr@srqeyecare.com
Keep in mind the most efficient and convenient way to fill out your registration forms will be in the patient portal.
If we have your email , you will receive an invitation to use the portal before your next appointment. It can be accessed at
tschwartz.ema.md (don't add www or https)
This is a secure, encrypted site
In the patient portal you can:
*Access your medical record
*Send a secure message to our doctor or staff
*Check your scheduled appointment dates and times
*Register and update your medical history, medications
Payments can be made here on the "Insurance and Payments" page- You do not need a portal account to access it- Just your account number!
Demographics and Medical History
Download FilePrivacy Preferences
Download FilePrivacy Notice
Download FileInstructions for fillable forms
Forms, Instructions for Fillable PDFs
This means that you can fill out the information required by the form by typing in the information while the form is displayed on your computer monitor.
To view, complete and print fillable forms you will need the freely available Acrobat 5.0 Reader (or later) software installed on your computer. Many computers are sold with Adobe installed already.
But if not, the Adobe Acrobat 5.0 Reader can be downloaded at http://www.adobe.com/products/acrobat/readstep2.html(link is external).
Completing the Fillable Form
- Download the form by clicking on the “Download File” link.
- Save the form to your desktop where you can easily find it.
- Open your saved form
- Position the hand pointer inside a form field and click. The I-beam pointer allows you to type text. The arrow pointer allows you to select a field, a check box, a radio button, or an item from a list.
- To accept the field change and go to the next field, press Tab or use your mouse to click on the next form field.
- To accept the field change and go to the previous field, press Shift + Tab or use your mouse to click on the previous form field.
- After completing the form, save it again. Then you can attach the form to an email – Please put your last name in the subject area. You could also print the fillable form and fax it to us or put it in the mail if you prefer.