The above forms include the HIPAA (Health Information Portability and Accountability Act) form, as well as the Records Release form. If you are a new patient, please print and fill out the HIPAA form and bring it to your appointment. If you know that you will need records sent to or from Brenart Eye Clinic, please print and fill out the Records Release form. Additional items you should bring to your appointment (new patient or returning patient) are listed below.

Prepare For Your Appointment:

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Please bring to your appointment:

  1. Insurance cards
  2. Identification card
  3. Updated list of medications and supplements you are currently taking
  4. Primary Care Physician information
  5. Requested forms or documentation (i.e. HIPAA form, referral reports, exam records etc.)
  6. Most recent pair of prescription glasses