Welcome to Illinois Eye Center! Upon your first visit with us, please complete the New Patient Forms prior to your arrival. This includes the HIPAA Release of Information and Authorization for Medical Benefits Forms.
We’ve also included a Records Release form for your convenience. If your child will be attending an appointment without a parent or guardian, please compete the Consent for Treatment of a Minor form.
- Consent for Treatment of a Minor
- Records Release
- OSF Pediatric Ophthalmology Records Release
- If you are using Google Chrome or Safari, electronic signatures will not work. Please download the PDF of the form to your computer, fill out, save, and email to: medicalrecords@illinoiseyecenter.com
