Alexander Katz, MD
Zayna Nahas, MD Jupiter 561-408-2345
Board Certified Ophthalmologists St. Lucie 772-446-4230
Patient Forms
Want to save time during your visit with us? Please print and fill out the following forms and bring with you on your first appointment.
Registration Form.pdf
Adobe Acrobat document [294.3 KB]
Adobe Acrobat document [294.3 KB]
eMessage Consent Form.pdf
Adobe Acrobat document [396.4 KB]
Adobe Acrobat document [396.4 KB]
New Patient Information.pdf
Adobe Acrobat document [66.8 KB]
Adobe Acrobat document [66.8 KB]
patient general history.pdf
Adobe Acrobat document [18.4 KB]
Adobe Acrobat document [18.4 KB]
Refraction Service and Fee.pdf
Adobe Acrobat document [23.1 KB]
Adobe Acrobat document [23.1 KB]
no show policy.pdf
Adobe Acrobat document [111.5 KB]
Adobe Acrobat document [111.5 KB]
Insurances Accepted
- Medicare
- BCBS (PPO only)
Don't forget to bring your insurance information with you
In order to register and treat you promptly, we request that our patients bring their current insurance information with them for each visit.
Offices:
JUPITER
224 Chimney Corner Ln,
STE 2002
Jupiter, FL 33458
phone: 561 408-2345
fax: 561 444-3508
PORT SAINT LUCIE
260 NW Peacock Blvd,
STE 201
Port St. Lucie, FL 34986
phone: 772 446-4230
fax: 772 446-4758
email: alexanderkatzmd@gmail.com
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Office Hours
Mon - Fri 8:00a- 5:00p
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