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All new patients please download this form. Email the completed copy to Patient.documents@retinacentertx.com, fax it to (817) 865-6790 or bring it with you to your first appointment.
To request your medical records (Protected Health Information) be sent to Retina Center of Texas, please download this form. Email the completed copy to info@retinacentertx.com, fax it to (817) 865-6790 or bring it with you to your appointment.
To request your medical records (Protected Health Information) be sent to another doctor, medical practice, or receive a copy for yourself, please download this form. Email the completed copy to info@retinacentertx.com, fax it to (817) 865-6790 or bring it with you to your appointment.
