Send an email to  recordalpine@gmail.com with the template below and completed questionnaire

Timeline: Records request may take up to 15 business days to process and receive.

NOTE: All Contact Lens Prescriptions from Alpine Eyecare are expired.

Rx is valid one year from appointment. We recommend yearly wellness eye exams. Your eyecare is overdue if you have not seen an eyecare professional since our clinical operations ceased.  Please see the “Why did we close?” tab for recommended providers for future care.

If you are requesting the last eye exam please copy the appropriate verbiage to “Other Requests” line.

I request to have my last eye exam mailed to this address:

____________________________________________________________________________________

ALPINE EYECARE RECORDS REQUEST

Date of Records Request:

First and Last Name of Patient:

Patient Date of Birth:

Please request the following: 

Email me my expired Contact Lens Rx 

Email me the last Glasses Rx

Other Requests:

Please enter any additional information needed for your records request to be completed.

___________________________________________________________________________________

The custodian of the records for Alpine Eyecare is Bryce Tanner, OD www.cortezvision.com

Call Dr. Tanner’s office to schedule an appointment and service all your vision and eyewear needs.

Cortez Vision Phone: 970-565-2020 Fax: 970-565-3632 140 North Market Cortez, CO 81321

Copyright 2017 ©. Alpine Eyecare. All Rights Reserved.