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    Nursing Home Forms

    We recommend that all long term care residents be screened upon admission to discover any performance deficits that may be linked to eye disease or malfunction. Our Screening Authorization may be downloaded below.

    Visual Screening Authorization Form (PDF)

    If a resident is known to have an eye disease or functional problem and screening is not necessary, you may use the direct authorization form link below.

    Nursing Home Patient Authorization Form (PDF)
Lifetime Vision Care, 1903 Tyrone Boulevard, Saint Petersburg, Florida 33710
Phone: 727-345-4035     Fax: 727-384-3112     Find Us