To facilitate the transfer of your eye examination records between providers or to request a copy of your eyeglasses and/or contact lens prescription, we have provided two downloadable forms.
Authorization for Release of Information
Use this form if you wish to have your eye examination records sent from Smyrna Eye Group to another provider or if you wish Smyrna Eye Group to receive your information from a previous provider.
Request for Glasses and/or Contact Lens Prescription
Use this form if you wish to receive a copy of your eyeglasses and/or contact lens prescription.
