Patient Forms

Privacy Practices – English

Privacy Practices – Spanish


Please download and complete all forms in the Patient Forms Package.

Patient Forms Package

Medical Records Release Forms (Optional)

Medical Records Release

Locations

Glendale Office

6677 W. Thunderbird,
Building F, Suite 101,
Glendale, AZ 85306
Phone Icon
623-878-3939
location

Scottsdale Office

10603 North Hayden Road,
Building H, Suite 100,
Scottsdale, AZ 85260
Phone Icon
480-664-4977
LOCATION

Spectra Eye Institute

15401 N 29th Ave,
Suite 201,
Phoenix, AZ 85053
Phone Icon
623-583-2020
LOCATION
Eye Physicians & Surgeons of Arizona