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Medical Records Release Form

Request and Release of Medical Records

To Whom it May Concern

Please release the medical records of the following patient to St Lawrence Optometry via fax to 613-549-4510 or email to info@slvision.ca - Patient Name:
MM slash DD slash YYYY
Previous Optometrist/Ophthalmologist:

In February 2022, the Ministry of Health issued an extension of expired Health Cards until September 30th, 2022.  The date is nearing and we wish to remind you to check the expiry date of your health card prior to your appointment if it's after October 1st, 2022. ALL RED&WHITE health cards without expiry dates will no longer be valid after September 30th, 2022.

IF YOUR HEALTH CARD IS EXPIRED, YOU WILL NOT HAVE OHIP COVERAGE STARTING OCTOBER 1, 2022 AND YOU WILL BE REQUIRED TO PAY OUT OF POCKET FOR YOUR HEALTH SERVICES.