Vision Care and Correction of San Diego
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patient  forms

Patient  registration


Couris New Patient Registration
File Size: 275 kb
File Type: pdf
Download File

You can download this file and complete it at home prior to your new appointment with Dr. Couris.
Couris Medical History Questionnaire
File Size: 428 kb
File Type: pdf
Download File

You can download this file and complete it at home prior to your next appointment with Dr. Couris.

medical  records


Couris Records Request
File Size: 467 kb
File Type: pdf
Download File

Couris Records Release
File Size: 467 kb
File Type: pdf
Download File

Do you need records to be sent to Dr. Couris? If so, download and complete the above document to request records from an outside facility.
Do you need records to be sent from Dr. Couris's office to an outside facility? ​If so, download and complete the above document to request records from our office.
Handler Records Request
File Size: 468 kb
File Type: pdf
Download File

​Do you need records to be sent to Dr. Handler? If so, download and complete the above document to request records from an outside facility.
Handler Records Release
File Size: 468 kb
File Type: pdf
Download File

Do you need records to be sent from Dr. Handler's office to an outside facility? ​If so, download and complete the above document to request records from our office.
Keefe Records Request
File Size: 466 kb
File Type: pdf
Download File

Keefe Records Release
File Size: 465 kb
File Type: pdf
Download File

​Do you need records to be sent to Dr. Keefe? If so, download and complete the above document to request records from an outside facility.
Do you need records to be sent from Dr. Keefe's office to an outside facility? ​If so, download and complete the above document to request records from our office.
Contact Us
3969 4th Avenue #301
San Diego, CA 92103
Phone:  619-291-6191 Couris, Keefe & Giang
              619-782-9222  Dr. Handler
           
Office Hours
Mon    7:30 am - 4:30 pm
Tue     7:30 am - 4:30 pm
Wed    7:30 am - 4:30 pm
Thu     7:30 am - 4:30 pm
Fri       7:45 am - Noon

Notice of Privacy Practices
Website by Eyefinity
  • Home
  • Our Doctors
  • Pay My Bill
  • Our Services
    • LASIK / LASEK / PRK
    • Cataract Surgery
    • Eye Care Articles
  • Patient Forms
  • Patient Portal
  • Location