You can pick up your medical records (Eyeglasses Rx or Contact Lenses Rx) in person from the office Monday - Friday 9 am - 5:30 pm
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Authorization to Release My Medical Records.
I hereby authorize the following healthcare Greater Valley Optometry to release my Retinal imaging Copy by Email to me. By submitting this form you are agreeing to receive by email your Retinal imaging copies for your eyes. Authorization to Release My Medical Records.
I hereby authorize the following healthcare Greater Valley Optometry to release my prescription Copy by Email to me. By submitting this form you are agreeing to receive by email your prescription copies for eyeglasses. |
Authorization to Release My Medical Records.
I hereby authorize the following healthcare Greater Valley Optometry to release my prescription Copy by Email to me. By submitting this form you are agreeing to receive by email your prescription copies for eyeglasses. Authorization to Release My Medical Records.
I hereby authorize the following healthcare Greater Valley Optometry to release my prescription Copy by Email to me. By submitting this form you are agreeing to receive by email your contact lenses and Eyeglasses prescription copy. |
Authorization to Release My Medical Records.
I hereby authorize the following healthcare Greater Valley Optometry to release my prescription Copy by Email to me.
By submitting this form you are agreeing to receive by email your contact lenses prescription copy.
I hereby authorize the following healthcare Greater Valley Optometry to release my prescription Copy by Email to me.
By submitting this form you are agreeing to receive by email your contact lenses prescription copy.
You can pick up your medical records (Eyeglasses Rx or Contact Lenses Rx) in person from the office Monday - Friday 9 am - 5:00 pm
