Consulting Ophthalmologists’ new patients are required to fill out a Patient Information form, Medical History and Medication List prior to delivery of services. For your convenience, please feel free to click on the link below to complete the necessary information on-line. The information will be sent directly to our office through a secure website.
Please be assured that all information provided to us electronically via the online registration link is secure and protected and meets all HIPAA regulations.
To send records from Consulting Opthalmologists.
To send records to Consulting Opthalmologists PC.
Medical Records Request:
You may print out the “Authorization for Release of Medical Records” form above and either mail, fax or email it to our Medical Records Department.