Medical Records Release Form Spanish

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Autorización para Divulgar Información Médica

Permite a los pacientes autorizar a Austin Retina a enviar o divulgar su información médica a un destinatario externo.

Autorización para Solicitar Información Médica

Se utiliza para solicitar y autorizar la transferencia de la información médica de un paciente a Austin Retina desde un proveedor externo.

Our Burnet Office Has Closed

Patients who were receiving care in our Burnet location are welcome to schedule an appointment in our newly opened Marble Falls office.

Read more about our Marble Falls location, or contact us at (800) 252-8259 for more information.

Our Burnet Office Has Closed

Patients who were receiving care in our Burnet location are welcome to schedule an appointment in our newly opened Marble Falls office.

Read more about our Marble Falls location, or contact us at (800) 252-8259 for more information.