As of May 1st, 2009, the FTC has mandated an Identity Theft Prevention Policy be implemented by all medical practices. To comply with this policy, we MUST make a copy of your valid driver’s license, passport or photo identification card. Please bring one of these documents with you to our office. Additionally, if the address on your ID does not match your home address, you must bring a copy of a utility bill which confirms your home address. We appreciate your compliance and apologize for any inconvenience this may cause you.

Laser Vision Correction Patient Forms

General Ophthalmology Patient Forms


As per the HIPAA guidelines below, we make every effort to protect the privacy of protected health information for our patients at Mandel Vision.

HIPAA Guidelines

Security Requirements within the Privacy Rule – §164.530 ©

  • §164.530 © (1):  “A covered entity must have in place appropriate physical, technical, and administrative safeguards to protect the privacy of protected health information.”
  • §164.530 © (@):  “A covered entity must reasonably safeguard protected health information from any intentional or unintentional use or disclosure that is in violation of the standards, implementation specifications, or other requirements of this subpart.”

Click here to review a copy of the Mandel Vision Privacy Policy