Records Release

For your convenience, below you will find a printable (and form-fillable) Medical Records Release.

To have your medical records released from Northwest Eye, please download the PDF, complete the form electronically, then email it to roi@nweyeclinic.com. You may also download and print the document, complete it, and fax it to (952) 473-4218.

Should you need any additional information or help, please contact us.

Medical Records Release