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Please note that our West Palm Beach office is now open normal hours: Monday to Friday 9:00 AM to 6:00 PM, Saturday 9:00 AM to 5:00 PM and Sunday Noon to 4:00 PM. Our Wellington office is open Monday - Saturday from 11:00 AM to 6:00 PM and Sunday from Noon to 5:00 PM. Be sure to stay up to date on our COVID-19 pandemic protocols by clicking this link

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Home » Contact Us » COVID-19 Consent Form

COVID-19 Consent Form

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  • In his Executive Order 20-91 beginning May 4th, 2020 Florida’s Governor has indicated that optometrists may resume performing routine eye exams. The CDC has removed the nationwide recommendation to postpone routine eye care as long as preventative measures are taken. Our office has implemented stringent protocols that meet CDC and American Optometric Association guidelines for your protection. Please note that Florida is currently in Phase 1 of reopening, and your eye exam may be modified accordingly.

    Please read the following statements and check each statement to indicate your agreement. If you cannot positively affirm all of these questions, we will assist you in rescheduling your visit to a later date.

  • I have read the above information and have answered the health questions honestly and to the best of my knowledge. I understand that Michael S. Nason, O.D., P.A., We’re All About Eyes, P.A. and its doctors and staff are taking all precautions possible to limit my potential exposure to the COVID-19 virus. I understand there is no definitive way to eliminate potential exposure completely. I understand that COVID-19 infection can lead to illness, disability or even death and knowingly take the risk of exposure as I deem my eye exam to be essential to the maintenance of my vision.

    By signing this form below, I agree that I will not hold Michael S. Nason, O.D., P.A., We’re All About Eyes, P.A. or any of its doctors or staff responsible should I, or someone I come in contact with, become positive or presumptively positive with the COVID-19 virus. There are certain inherent risks associated with an eye exam during a pandemic and I assume full responsibility for personal illness that may result. I further release and discharge Michael S. Nason, O.D., P.A., We’re All About Eyes, P.A. and its doctors and staff for injury, loss or damage arising from my visit.

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