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Medical Records Release Form to Paul Phillips Eye & Surgery Center
Medical Records Release Form from Paul Phillips Eye & Surgery Center (There is a $15.00 fee to copy medical records.)
New Patient Forms
(Please print and complete the form and bring it along with your current insurance card and ID)
Note: These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here
*All indicated fields must be completed.
Please include non-medical questions and correspondence only.
| Mon: | 8:00 AM - 4:00 PM |
| Tue: | 8:00 AM - 7:00 PM |
| Wed: | 8:00 AM - 5:00 PM |
| Thu - Fri: | 8:00 AM - 4:00 PM |
| Sat: | 8:00 AM - 12:30 PM |
| Sun: | Closed |
(1st Saturday of the month)
| Mon: | 8:00 AM - 7:00 PM |
| Tue - Fri: | 8:00 AM - 4:00 PM |
| Sat - Sun: | Closed |
| Mon - Fri: | 8:00 AM - 4:00 PM |
| Sat - Sun: | Closed |
*On the first Monday and third Thursday of every month, we would remain open until 7:00 PM instead of closing at 4:00 PM
