Authorization for Disclosure of Protected Health Information (English Version)
Authorization for Disclosure of Protected Health Information (Spanish Version)
If you would like your medical records to be transferred either to or from Medical Eye Associates, please print and complete the following form. You may fax it to us at 262-650-6064 or email to info@medicaleyeassociates.com.
Call Us!
262-547-3352
Whether you visit us at our Waukesha location, or at one of our 2 convenient satellite offices located in Wauwatosa or Oconomowoc, you will find that our skilled doctors and friendly staff will provide you with the highest quality eye care.
To learn more, check our Services page, or call our office at 262-547-3352.