By signing this document, I hereby give permission to Bowen Eye Care to notify me regarding my Appointment(s), Eye Wear Order(s), Patient Recall(s) and Insurance Information in any or all of the following manners: With the Preferred Phone Number(s) given above, Answering Machine, Voice Mail, and/or Email.
Medical Lab Results, Pathology Results, or any Health Information not otherwise considered "business as usual" will only be divulged to the patient or to the specific individual(s) listed below. Only the patient, unless a minor, may request copies of his/her Medicat Record.