FORMS

The documents listed below can be printed for you to fill out at your leisure in order to be sure all your information is accurate and complete.

Please do not forget to bring your forms with you to your appointment and any other pertinent information ie x-rays, lab work, or office notes from referring physicians.

  Patient Registration

  Patient History

The following documents are strictly for informative purposes and can be printed and kept for your files:

  Notice of Privacy Practices

  In Case of Errors or Inquiries about your bill

Individuals who have been a patient at Rocky Mountain Eye Center, P.C. have the right to access or receive copies of their medical records. Authorization for Release of Health Care Information forms can be obtained at the EYE front desk M-F 8:00am - 5:30pm

or you may print them, fill them out and return to our office either by mail or stopping by our office:

Rocky Mountain Eye Center, P.C. 700 W. Kent Missoula, MT 59801

OR you may fax it to (406) 541-3810

  Authorization for Release of Health Care Information

Individuals who have an upcoming appointment at Rocky Mountain Eye Center and have records from other clinics which need to be sent to us can download that form HERE.

                                                                                                                    

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