Exceptional care. Focused on you.

Forms

Medical Records Request - Release of Information

To return form electronically:

  1. Fill in the blanks on a computer, tablet, or smartphone

  2. Save by selecting "print,” then select "print to pdf" (or similar) from available printers

  3. Save as a pdf to your device

  4. Email that pdf as an attachment to info@iowaeyephysicians.com

To return a hard copy:

  1. Bring it to our office

  2. Mail it to 2629 Northgate Drive, Iowa City, IA 52245

  3. Fax it to 319-338-7289

  4. Scan the document into your device's storage as a pdf, and e-mail that pdf as an attachment to info@iowaeyephysicians.com

  5. Take a picture of the document on a smartphone or tablet, and e-mail that picture as an attachment to info@iowaeyephysicians.com OR text that picture to (319) 338 - 3623

New Patient Information Form

Notice of Privacy Practices

 

notice to Patients of Dr. Bouchey

We understand that when it comes to your health, you turn to those you trust for your information. Dr. Bouchey has entrusted his patients’ medical records to our office. We are happy to store these records as a courtesy to you.

Please complete and submit the Medical Records Request — Release of Information form if and when you have need for your medical record. We may request a small fee for processing your paperwork. Click here for FAQs regarding Dr. Bouchey’s records.

 

partner practices

 

We are proud to work with many other area physicians to provide specialized care to you. The physicians listed below are just some of our industry friends trusted to provide ophthalmic care and vision services.

Advanced Eye Care

Dr. Hand & Dr. Stalzer

Website
 

Alberhasky Eye

Dr. Ian Hui

Website
 

All About Eyes

Dr. Spitz

Website
 

American Eyecare

Dr. Gerhardt, Dr. Ruhl, Dr. Logan Granera, Dr. Abigail Granera

Website

Axis Eye Care (Washington, Williamsburg, Fairfield, Tiffin)

Dr. Courtney, Dr. Striegel, Dr. Millikin, Dr. Harris

Website

Rick Greenfield Eye Care

Dr. Rick Greenfield
 

Copeland Eyecare

Dr. Copeland, Dr. Bildstein, Dr. Nickel

Website
 

Eye Associates of Iowa City

Dr. Schlader, Dr. Wiehe, Dr. Huisman, Dr. Wilhelm, Dr. Dimmer

Website

EyeCare Max

Dr. McManis

Website

Family Eye Muscatine

Dr. Hansen, Dr. Carter, Dr. Kassell, Dr. Lukkarinen, Dr. Rozendaal

Website

Fitzgerald and associates

Dr. Fitzgerald

Website
 

Great River Eye Care

Dr. Weyers

Directions & Map

Iowa Eye Cedar Rapids

Dr. Cruise, Dr. Christensen, Dr. Francis, Dr. Nelson, Dr. Anderson

Website
 

InnovativEyes Burlington WalMart

Dr. Botts, Dr. O’Brien, Dr. Skadahl

Website

 

Jensen Eyecare

Dr. Jensen, Dr. Borkavec

Website

 

Iowa Valley Eye Care, Marengo

Dr. Flemming

Website

 

Keokuk Peck Vision Clinic

Dr. Peck

Website

 

McDonald Optical

Dr. Kirschling

Website

 

Midwest Eye Clinic

Dr. Sarah Sliwinski, Dr. Daniel Sliwinski

Website

 

Modern Eye Care

Dr. Lowe, Dr. Williams, Dr. Hangartner

Website

 

Mt Vernon Eye Clinic

Dr. Hibbing, Dr. Sindt

Website

 

Parsons Eye Care at Lens Crafters

Dr. Parsons, Dr. Shaeffer, Dr. Larson

Website

Roggy Eye Clinic

Dr. Roggy, Dr. Hotsenpillar

Website

Vision Center Muscatine, Tipton, Wapelo

Dr. Eller, Dr. Scholz, Dr. Walsh

Website