PATIENT PORTAL

Tampa and Bay Area Dr. Kwitko proudly serves the Cosmetic and Reconstructive Eyelid Surgery, Thyroid Eye Disease, Orbital Diseases, Orbital and Eyelid Cancer Treatment needs of Residents in Tampa, St. Petersburg, Clearwater, Largo, Hillsborough County, Pinellas County and throughout the Bay Area in West Central Florida.

Call 813.877.8665 today to schedule a confidential consultation with Oculoplastic Surgeon, Dr. Geoffrey Kwitko about your Oculoplastic Surgery needs and goals.

* Consultation Disclaimer: Cosmetic consults are $75 - non-refundable, but can be applied to surgical costs if booked within 6 weeks of consultation.

If you are a current patient of Geoffrey M. Kwitko M.D. accessing the patient portal will assist the practice in keeping an on-time schedule and reducing the administrative side of any patient visit. Please enter the portal or contact our office for your patient specific ID for access to the Patient Portal.

Patient Portal Assistance

1. Click on the words New Users Registration on the left side of the page. A screen with 2 boxes will be displayed.
2. In the first box, enter your Last Name. In the second box, enter the Security Code shown at the top of this page.
3. Click the box labeled Submit. A screen with 3 boxes will appear.
4. In the box beside Create a Username, type a name, or initials, as your User Name WRITE THIS DOWN on the form provided by the Front Desk.
5. In the box beside Create a Password, type in a code – numbers, letters or both, as your Password. WRITE THIS DOWN on the form provided by the Front Desk.
6. In the box beside Re-type Password, type in the code again. Click the Submit button.
7. A Patient Demographics Screen will appear that has some information already filled in.
8. Use the Tab key to move to each box to enter missing information or correct what's shown.
9. When you get to the bottom of the page, click Next. A page that says "Page 1 of 9" will be displayed. This is the Retina Associates Authorization Form. Read the form, type in your full name and the date in the box labeled E-Signature and click Next.
10. On the next page, read the Refund Policy, type in your full name and date in the box labeled E-Signature and click Next.
11. On the next page Read the Financial Policy, type in your full name and the date in the box labeled E-Signature and click Next.
12. On the next page, read the Privacy Notice to Patients, type in your full name and the date in the box labeled E-Signature and click Next.
13. Fill out the Patient Medical HX. When you get to the bottom of the form, click Next.
14. Complete the form labeled Prior Eye Surgery or Laser Surgery (if no eye surgery, skip this form). Enter Name and Date of Surgery and Physician who performed it.
15. Complete the form labeled Prior Major Surgery (if no history of Major Surgery skip this form and click Next). Enter Name and Date of Surgery, and Physician who performed it.
16. Complete the information about all medications you are taking (if you're not taking any medications, skip this form and go to the Allergies to Medications form). Enter Medication Name, Dosage and Directions (how often you take it).
17. Go to the form labeled Allergies to Medications (if no allergies, skip this form and click Next). Enter Medication Name to which you are allergic and the Reaction.
18. Complete the form labeled Patient Family History by checking the Yes or No box beside each item listed. When you are done, click Next.
19. Complete the form labeled Patient Social History by checking the Yes or No box or typing a response to each item. When you are done, click Next.
20. Click Continue to Final Step.

You're done! Thank you for helping us save time on your next visit!!

Call 813.877.8665 today to schedule a confidential consultation with Oculoplastic Surgeon, Dr. Geoffrey Kwitko about your Cosmetic and Reconstructive Eyelid Surgery, Thyroid Eye Disease, Orbital Diseases, Orbital and Eyelid Cancer Treatment needs in Tampa, St. Petersburg, Clearwater, Largo, Hillsborough County, Pinellas County and throughout the Bay Area in West Central Florida.

* Consultation Disclaimer: Cosmetic consults are $75 - non-refundable, but can be applied to surgical costs if booked within 6 weeks of consultation.