Forms & Media

Notice of Privacy Practices

Notice of Privacy Practices / HIPAA Form [Adobe .PDF format]

* – HIPAA: Health Insurance Portability & Accountability Act

Records Release Forms

Request for Medical Records (IN) [Word .DOC Format]
Request for Harman Eye Center Medical Records (OUT) [Word .DOC Format]

[Archive] Print Media: Ads, Flyers, Brochures

LASIK Patient Procedure Summary

iLASIK Procedure Summary [Adobe .PDF format]

iLASIK Procedure Summary [Word .DOC Format]

[Archive] Print Media: Ads, Flyers, Brochures

Harman Eye Center Amherst Flyer [Adobe .PDF format]

Harman Eye Center “Lynchburg Living” Magazine LASIK Ad “Eye Chart T-Shirt” [Adobe .PDF format]

Harman Eye Center “Lynchburg Living” magazine LASIK ad “Awkward Wave” [Adobe .PDF format]

Harman Eye Center Amherst VA. County Guidebook iLASIK Half Page Ad [Adobe .PDF format]

Harman Eye Center E. C. Glass – iLasik Coupon Ad [Adobe .PDF format]

Harman Eye Center Forest VA. iLasik Flyer [Adobe .PDF format]

Harman Eye Center Lynchburg Living Magazine Ads June [Adobe .PDF format]