Records Release

Records Release

Records Release

Records Release

Records Release

Please use the links below to download our record release forms in printable PDF format:

  • Patient Access Request Form - For Patients who are requesting their own records

  • DOWNLOAD
  • Third-Party Records Request Form - For Patient requesting their records be sent to another doctor or third party

  • DOWNLOAD
1515SacEye none 8:00 AM - 4:30 PM 8:00 AM - 4:30 PM 8:00 AM - 4:30 PM 8:00 AM - 4:30 PM 8:00 AM - 4:30 PM Closed Closed optometrist # # # 1515 River Park Drive, Suite 100 Sacramento, CA 95815 2295 Fieldstone Drive, Ste 140 Lincoln, CA 95648