MEDICAL RELEASE FORMS

It is always our goal at Family Eye Wellness to give you optimum eye care. To ensure your first visit goes smoothly, we may request that you share your prior exam records with us.
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Fax: (984) 263-2914

Transferring Care to Family Eye Wellness
If you have had an eye exam elsewhere and would like to share your prior records with us, please fill out the form below:


Transferring Care Elsewhere
If you would like for us to send your records to another provider’s office, please fill out the medical release form below.


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SUBMIT COMPLETED FORMS

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