• RECORDS RELEASE FORM

    Disclaimer:Prism Optical has ceased operations. All patient records have been transferred to Aurora Eye Care. Aurora Eye Care is a separate entity and is not responsible for any products or services purchased from Prism Optical. We are unable to provide any care or warranty services related to Prism Optical products or services.As a service to Alaskan villages, we are happy to transfer your care to Aurora Eye Care. If you require a copy of your records or are interested in purchasing new glasses or contact lenses, please contact Aurora Eye Care directly. We are happy to assist you with these requests for a small fee.HIPAA Disclaimer: Your medical records are protected by the Health Insurance Portability and Accountability Act (HIPAA). To request a copy of your records, please contact Aurora Eye Care directly. We will process your request in accordance with HIPAA regulations.Additionally, if you are eligible for Medicaid-covered glasses, we can assist with reordering them at no charge. Please contact Aurora Eye Care for more information.
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  • Note: According to the Health Records Privacy Act charge a $1.00 charge will be applied per page to the first 25 pages of ALL medical records. Any records that exceed 25 pages will be charged a $25 flat fee. After the initial request, it will take between 7-10 business days for records to be reviewed and sent. Any records that need to be mailed will be charged a $10 shipping fee.

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