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Practice Name

Renewed Vision Care

Primary Location
1681 Old Pendergrass Rd
Jefferson, GA 30549
Phone: 706-387-0111
Fax: 706-367-1290

Office Hours

DayMorningAfternoon
Monday1:30am7:00pm
Tuesday8:30am5:30pm
Wednesday8:30am5:30pm
Thursday8:30am5:30pm
Friday8:30am5:30pm
SaturdayClosedClosed
SundayClosedClosed
Main Content

Renewed Vision Registration Forms:

At Renewed Vision, we value your time.  In order to expedite the registration process, we ask that new patients submit the following online form:

    Welcome to our Office (submit online)

If you would rather download/print the form to bring to your appointment or fax to the office, please use the link below.  AdobeReader is required to download the form.  You will find a link to a free download of Adobe Reader at the bottom of this page.

   Welcome to Our Office! (print)

Transfer of Medical Records:

If you would like Renewed Vision to release your medical information to another medical provider, or if you would like Renewed Vision to request your medical information from another provider, please download and fill out the appropriate form below.  The following information is required per HIPAA regulations:  Patient name and date of birth, specific information requested and reason for request, signature of patient or guardian.  You may bring the complete form to Renewed Vision or fax it to:     706-367-1290.
  Records Release Form (Request records from another office be sent to Renewed Vision)
  Records Disclosure Form (Request records from Renewed Vision be sent to another office)

Renewed Vision Policies:

  Notice of Privacy Practices
  Financial Policy

___________
  Download the Free AdobeReader®

Exclusive Offer

Featured Services

Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Testimonial

Upon arrival I was immediately taken back to start my exam. There was zero wait and the staff here is amazing! They listened intently and the Doctor herself gave me all the time I needed to express my concerns. I have been going here for 3 years and I plan on staying with them for many years to come. Thank you Renewed Vision!

- Amber F. / Jefferson, GA

Office Hours

DayMorningAfternoon
Monday1:30am7:00pm
Tuesday8:30am5:30pm
Wednesday8:30am5:30pm
Thursday8:30am5:30pm
Friday8:30am5:30pm
SaturdayClosedClosed
SundayClosedClosed

Contact

  • 706-387-0111
  • 1681 Old Pendergrass Rd Jefferson, GA 30549
  • Get Directions
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