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Medical Records Release

If you would like to request that medical records be sent to University Eye Associates or from us to another provider, please complete the below form.

You may bring the form to our office, fax or mail to the corresponding address at the top of the form.

Medical Records Release Form

Office Hours

Our Regular Schedule

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Locations

Find us on the map