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Forms

Medical Records Release Form

If you are looking to retrieve your records or have records transferred to Nashua Eye, please print form, fill out and send it to the medical records department.

Surgery Forms

If you are scheduled for surgery, please review the below forms.

1) Please review the surgery instructions

2) Fill out the Anesthesia Evaluation and return it to Nashua Eye, either mailing it back or dropping it off.

3) Please bring the Primacy Care Provider (PCP) Clearance form to your primary care doctor for clearance before surgery.

If you need assistance with surgery scheduling, please call our coordinators at 603-882-9800, Ext 8015.

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Call 603.882.9800