Welcome to Idaho Retina Center PLLC

Thank you for allowing us to be a part of your care

New Patient Packet

If you are a new patient or if you have not been seen in over 2 years, please complete the packet below.

Medical Records Release

If you would like us to send your medical records to another entity (another provider, insurance company, school etc) please fill out this release form.

Release of Information to Family 

If you would like us to be able to discuss your appointment times, exam findings, or test results with anyone else, please fill out this form.

Notice of Privacy Practices

If you would like to review out privacy practices. Please review the form below.

 

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