Medical Records

Fill out this document and email the completed copy to [email protected].
Note that requests require seven (7) business days of processing time after received the completed document.

The following health information that relates to services rendered at Brinton Vision may be released.

  • Patient History
  • Office Notes
  • Test Results
  • Referrals
  • Consults
  • Records Sent by Other Health Care Providers

Have you had LASIK or lens implant surgery in the past?