Online Patient Request Tool

Release of Health Information

Eye Center of St. Augustine has partnered with Sharecare to fulfill your requests for records.

Eye Center of St. Augustine is committed to protecting your medical information. For information about your rights and your obligations regarding the use and disclosure of your medical information, please see our Notice of Privacy Practices.

If you are our patient and would like to request your medical records, please click on the link below to complete your request for medical records. You must provide a valid email address and a government-issued ID.

Records are usually available within 5-7 business days from the time the request is received. If you are
picking up your medical records in person, please be sure to bring a government-issued ID.

Only the patient, parent/legal guardian, or the patient’s legal health care representative can sign the form to release medical records. If you request records on behalf of the patient or as the patient’s representative, please provide a copy of an Advance Directive/Durable Power of Attorney for healthcare/ Conservatorship.

Request Submission for Third-Party Requesters

If you are an attorney, insurance company, or any other entity requesting records from our facility, please click on the link below to upload your request along with the patient’s authorization.

Your records will be ready in 5-7 business days from the receipt of your electronic request.

You may call: 858-244-1811
Contact Support for live chat:

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