You have a right to request access to review and to receive copies of your protected health information. Please see Virginia Retina Consultants’ Notice of Privacy Practices or contact Virginia Retina Consultants’ Privacy Official for information.
The completed and signed form may be sent to our Records Department by e-mail, fax, or U.S. Postal Mail:
E-mail: ARC-Records@arcpc.net
Fax: 248-319-0169
Mail: Virginia Retina Consultants, 2000 North Huron River Drive, Suite 100, Ypsilanti, MI, 48197
