Forms
Convenient Access to Patient Forms
At Chesapeake Eye Center, we understand that your time is valuable. To provide convenience and efficiency during your visit, we offer the option to complete patient forms online through our patient portal. By accessing and filling out necessary forms from the comfort of your own home, you can streamline the process and save time when you visit us at any of our locations in Delmarva.
Consent To Release Medical Records
Need to share your medical records with another provider? Click below to easily access and complete our Consent to Release Medical Records form.
Important Forms and Their Purposes
We’re happy to help you complete a variety of forms. A small fee applies to most forms. For more information on fees or to ask about other forms you may need, please call our office.
MVA Forms
Suppose you have been involved in a motor vehicle accident (MVA) and require specific documentation for insurance or legal purposes. In that case, we can provide the necessary forms to help you process claims swiftly.
Disability Forms
For patients applying for disability benefits, we offer assistance in completing the required forms. These forms ensure you can present the relevant medical information to support your application.
FMLA Forms
If you need to take leave from work under the Family and Medical Leave Act (FMLA), we can help you complete the required forms. These forms help document your medical condition and hasten the approval of your leave request.
Timely Processing of Patient Forms
We understand the importance of quick form processing. In most cases, we strive to complete forms within 48 business hours, ensuring you receive the necessary documentation promptly. Our dedicated team is committed to efficiently and accurately completing your forms to meet your needs.
Contact Us for Assistance
Thank you for choosing Chesapeake Eye Center for your eye care needs. We appreciate your trust and look forward to providing you with exceptional care and personalized attention.
While most information about patient forms can be found on our website, we recognize that you may have additional questions or concerns. For inquiries and further assistance, our helpful staff at Chesapeake Eye Center is here to assist you. We are dedicated to ensuring a smooth and seamless patient experience.