Transfer of Medical Records
If you would like Renewed Vision to release your medical information to another medical provider, or if you would like Renewed Vision to request your medical information from another provider, please download and fill out the appropriate form below. The following information is required per HIPAA regulations: Patient name and date of birth, specific information requested and reason for request, signature of patient or guardian. You may bring the complete form to Renewed Vision or fax it to: 706-367-1290.
Renewed Vision Policies
Notice of Privacy Practices and Financial Policy