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Request for Patient’s Health Records

If you have had prior eye surgery or a complicated prior diagnosis (like glaucoma, not like a stye) please fill our this form & e-mail it to your prior eye doctor (preferably a MD or eye surgeon, not an OD or optometrist) & CC [email protected] & ask them to reply to ALL with your prior eye records attached so we have them when you come in.

You can thus track if they reply with your records or not, as we’re just CC’d—you’re the main person to reply to (because under Federal Law only you the patient can request records, we can’t do this ourselves).

Document to print

PDF Form Document

Please fill out the form

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  • This field is for validation purposes and should be left unchanged.

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If you are unsure about what procedure to choose or need more information please feel free to ask Dr.Chynn one question.

We are the only center in the country allowing you to ask our doctor a question, and he will answer personally.

Emil Chynn, MD, MBA, FACS

ASK DR. CHYNN!

Why Haven’t You Gotten Laser Vision Correction Yet?

Dr. Chynn graduated from Dartmouth + Columbia + Harvard + Emory + NYU and has been featured on CNN, ABC, NBC, CBS, Discovery Channel & in the NY Times & Wall St. Journal

He’s performed 1,000 PRKs, 5,000 LASIKs, 10,000 epiLASEKs, 15,000 LASEKs – more than any surgeon in the US

He got LASIK in his right eye & LASEK in his left eye, so is UNIQUELY qualified to tell you the +/-‘s of BOTH procedures – from BOTH a Surgeon’s & Patient’s point-of-view!

Ask Dr.Chynn Your Questions Or Concerns!

  • Please don’t worry – Your information will NOT be automatically added to our database.

  • This field is for validation purposes and should be left unchanged.