Treating Patients
Like Family Since 1961
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Your Rights & Responsibilities

St. Michaels Eye & Laser Institute is committed to the rights of each of our patients. We strive to be completely transparent with your responsibilities, so you know exactly what you’re responsible for before and after your procedure.

This document

  • Provides you with your Rights and Responsibilities relating to your procedure
  • Describes how to file a grievance, if desired
  • Provides information concerning physician ownership of our center
  • Sets forth our center’s policy with respect to advance directives

Click the link below to download the Patient Rights and Responsibilities Form:

View Form

Click the link below to read our Nondiscrimination Notice:

View Form

Report a Patient Safety or Quality of Care Event

Do you have a patient safety event or concern about a health care organization?

How do you file a concern?


Submit a new patient safety event or concern:

Complaint Form


State of Florida Agency for Health Care Administration
2727 Mahan Drive MS#31
Tallahassee, FL 32308

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1030 W Bay Dr Suite 200
Largo, FL 33770