3939 W 50th Street, Suite 200, Edina, MN 55424
 
 
Find Us On:
 
 
 
Edina Eye Clinic
 
CALL US TODAY!
952-920-2020
 
 
 
 
 
 

Patient Forms - Twin Cities Area

 

Appointment Forms

Please read, sign, and bring the following forms with you to your upcoming appointment:
 

Records Request Form

To request your medical records please fill out the form below, when finished please fax to (952) 920-3225 or email to contact@edinaeyeclinic.com:
 
 

Notice of Privacy Practices

The following document is our Notice of HIPAA Privacy Practices:
 

Patient Appointment Forms