Email Authorization Form
For patients looking to send and receive protected health information (e.g. glasses/contacts prescriptions) through unencrypted email.
For patients getting eye examinations and/or requesting services be rendered.
Medical History Form
For patients looking to fast-track their examination time, medical histories may be sent and received electronically!
Medicare Beneficiary Notice
For patients using Medicare insurance.
Release of Medical Information
For patients looking to send their records to their ophthalmologist, primary care physician, or other healthcare professional.
Have a Question, Comment or Concern?
Please contact us!