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SouthEast LASIK Medical Records

Medical Records
Release Authorization

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Medical records

Authorization Form

Download >

OR
 

Click the link below to request your medical records via an online form.
Authorization for the Release of Medical Records (Online)

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Your medical records include sensitive information, also known as PHI (Protected Health Information). Keeping your PHI safe is extremely important to SouthEast LASIK. Therefore, we have partnered with MediCopy, a company that specializes in pulling and delivering your medical records to you quickly and securely.

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