One of the Nation’s Premier Retinal Subspecialty Groups
Please print and complete the appropriate forms:
- Patient Authorization Health Information & Financial Agreement
- Notice of Privacy Practices Acknowledgment
- Complete Notice of Privacy Practices
- Medical Records Release
- Medical History Questionnaire
note: The above documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.
Retina Associates hours are 8:00 a.m. to 5:00 p.m. Monday through Friday. For emergencies, you can reach the on call physician outside of normal office hours by calling 1-855-784-2480.
To schedule or cancel an appointment, or to request a refill of prescription eyedrops during normal office hours, please call our main number at 520-886-2597 or use the website form to your right. We would appreciate at least a day's notice of appointment reschedule or cancellation.