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MEDICAL RECORDS RELEASE TERRY E. ROBINSON, M.D. EYE PHYSICIAN AND SURGEON 500 HOFFMAN STREET, SUITE 109 LONGMONT, CO 80501 Request for Copies PATIENT INFORMATION Please PRINT CLEARLY and fill in ALL
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Step 1: Gather all relevant information such as your personal details, medical history, and any symptoms or concerns you may have.
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Step 2: Research and choose a reputable eye physician and surgeon.
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Step 3: Schedule an appointment with the chosen eye physician and surgeon.
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Step 4: Arrive at the appointment on time and bring any necessary documents or insurance information.
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Step 5: Fill out the required forms at the medical facility, providing accurate and detailed information.
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Step 6: If you have any specific questions or concerns, communicate them clearly to the eye physician and surgeon.
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Step 7: Follow any additional instructions or recommendations given by the eye physician and surgeon.
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Step 8: Pay any applicable fees or co-pays before leaving the medical facility.
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Step 9: Keep a copy of the filled-out forms for your records.
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Step 10: Follow up with any necessary appointments or treatments as advised by the eye physician and surgeon.

Who needs eye physician and surgeon?

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Anyone experiencing eye-related issues or conditions such as blurred vision, eye pain, redness, itching, excessive tearing, or changes in vision.
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Individuals with known eye conditions or diseases like cataracts, glaucoma, macular degeneration, or diabetic retinopathy.
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Those in need of routine eye exams to evaluate vision and overall eye health.
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People considering or in need of eye surgery, such as LASIK or cataract surgery.
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Individuals seeking expert advice or consultation on eye-related concerns or questions.

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