Due to inclement weather, we will close at 4pm today Dec 1, 2025

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  • Our Doctors
    • Dr. Laura Brammer
    • Dr. Stephanie Erker
    • Dr. David Littlefield
  • Services
  • Products
  • Contact Us
  • Additional Info
    • Records Release Forms
    • Patient Payment
    • Patient Portal Access
    • Insurance
  • More
    • Home
    • Our Doctors
      • Dr. Laura Brammer
      • Dr. Stephanie Erker
      • Dr. David Littlefield
    • Services
    • Products
    • Contact Us
    • Additional Info
      • Records Release Forms
      • Patient Payment
      • Patient Portal Access
      • Insurance
  • Home
  • Our Doctors
    • Dr. Laura Brammer
    • Dr. Stephanie Erker
    • Dr. David Littlefield
  • Services
  • Products
  • Contact Us
  • Additional Info
    • Records Release Forms
    • Patient Payment
    • Patient Portal Access
    • Insurance

Records Release Forms

Downloadable Forms

Records Release TO Midwest Family Eyecare (docx)Download
Records Release FROM Midwest Family Eyecare (docx)Download

Digital Forms

Click one the following to complete a digital request form. 

Send records to us!

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