Introducing valeda light therapy

A non-invasive treatment supporting Dry AMD. Learn more or schedule now.

Patient Forms

new patients:

Welcome New Patients!

To help us provide the best possible care, we ask that you complete your new patient paperwork before your first visit. You may choose to complete the forms electronically online or download and print them to fill out manually. Please select an option below.

release of records:

Please complete the form below if you would like us to obtain records from another healthcare provider or authorize our office to send your records to another physician, facility, or individual. Once completed, please submit the form to mreception@specialtyeyecarecentre.com. Please allow 7-14 business days for processing of your request.

Notice of privacy policies:

Your privacy is important to us. Our Notice of Privacy Practices explains how your medical information may be used and disclosed, as well as your rights regarding your health information.

Specialty Eyecarè Centre

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