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Secure Medical Records Submission

A Simple, Secure Way to Share Patient Records

Weiner Eye Group is pleased to offer referring providers and medical offices a convenient way to electronically submit patient medical records. Upload exam notes, diagnostic imaging, and other relevant records directly through our secure submission portal—eliminating the need to fax documents.

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Our goal is to make sharing patient information easier, faster, and more efficient for your office and ours.

Provider Information

Patient Information

Patient Date of Birth
Month
Day
Year

 Do not use this form for urgent medical concerns.

Contact

1410 E Iron Ave Ste 5

Salina, KS 67401

Opening Hours

Mon - Fri

8:00 am – 5:00 pm

Saturday

Closed

​Sunday

Closed

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