WebCONTACT US Information Eye Physicians of Elizabethtown (270) 765-6066 1109 Woodland Dr, Elizabethtown, KY 42701 Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment. Name * Phone * Email * Message … WebSee more of Eye Physicians of Elizabethtown/Physicians Optical on Facebook. Log In. or

HIPAA Notice Eye Physicians of Elizabethtown

Websafety or effectiveness of an FDA regulated product or activity; (2) prevent or control disease, injury or disability; (3) report births or deaths; (4) report child abuse or neglect; (5) report reactions to medications or problems WebPatient Registration Patient Name (Please Circle) Mr., Mrs., Ms., Dr. Date of Birth Age Sex SS # Address City, State and Zip Code suzuki gsxr 600 custom

Physicians Optical Eye Physicians of Elizabethtown

WebDO NOT send personal health information through this form. Specific patient care must be addressed during an appointment. Name First Last Phone Email Comments CONTACT … WebSep 23, 2013 · Mailing Address: 1109 Woodland Drive, Elizabethtown, KY 42701 Telephone: 270-765-6066 Fax: 270-737-2354 E-mail: [email protected] About This Notice We are required by law to maintain the privacy of Protected Health Information (PHI) and to give you this Notice explaining our privacy practices with regard to that … WebOur staff will take the time to answer all of your questions and explain treatment options through your entire eye care experience. If you’re looking for quality eye care with a … bar madalena londrina menu