For all patients, children and adults download the 3 forms below and bring to your first appointment.
Authorization for Examination of Minors
If a child is being brought to our clinic by someone other than their parent or legal guardian, then the form above will need to be completed.
Authorization to Release Medical Information for Minors
If you would like your child’s medical information to be released to people associated with their care other than parents (grandparents, brother, sister, etc.), then complete the form above.
Request for Records Release from Central Eye Care P.C.
Complete the form above and send to us if you would like us to obtain the patient’s records from Central Eye Care.
Request for Records Release to Central Eye Care P.C.
Complete the form above and send to us if you would like us to obtain the patient’s records from another doctor.