HIPAA Privacy Practices
Release of Confidential Information
If you need to have medical records from your prior eye care provider sent to us, or your information from us sent to another provider, print out this form, fill it out, sign it, and bring it in to us:
The Medical Questionnaire Form lets us know about your previous medical history so we can ensure you receive the proper testing and care.
Review of Systems
The Review of Systems Form is medical background information that insurance requires which helps us to determine your medical status for eye health testing and examination.