For your convenience we have made our new
patient packet available online. Click the link below to print out the forms. If you are able to fill them out, it will speed up the process on the day of your appointment. If you are unable to fill out the forms, we ask that you arrive 15 minutes early as to not interfere with other patients appointment slots.
-The staff at Vision Center of Delaware
What to expect the day of your appointment
It is expected that you come on time for your appt. more than 15 minutes late we must reschedule your appt.
Requesting Medical Records
Your records will be released upon receipt and payment of the
signed Medical Record Release form.
You can request records from Vision Center of Delaware upon filling out a records release form either by mail, phone or email.
Fax, email, or bring completed form to Vision Center of DE.
Processing Cost$15.00 Please allow up to 10 business days to process your request.
Authorization Signature for Your Records Release
By law, the following authorized people are able to sign for the release of your health information:
Yourself (not your spouse) A parent (for patients younger than 18 years of age) Legal guardian (guardianship documentation is required) Power of attorney if patient is unable to sign (legal documentation is required) Estate representative for a deceased patient (estate documentation is required)