Facebook

Medical Records/Release

Sub Title

If you are a requesting a medical record for personal use, or requesting on behalf of a patient such as an attorney for disability, there is a $10 per each request and a 25 cent per page handling fee.

If you are a non–comanaged office and would like to request records, please have the patient fill out the following form. Please click the button below and email the complete form to medicalrecord@DoughertyLaserVision.com. Failure to provide all information requested may invalidate this Authorization.

Submit Request Here

Layer-595

Find Us On

Book Appointment