ALL FORMS MUST BE COMPLETED BEFORE YOUR 1ST ORDER. IF FORMS ARE NOT COMPLETED YOUR ODER WILL NOT BE PROCESSED, UNTIL FORMS ARE COMPLETED.

PATIENT INFORMATION

CODE OF CONDUCT

THESE FORMS ARE TO PROTECT RED EYE DELIVERY. ALL INFORMATION COLLECTED WILL NOT BE SHARED IN ANY WAY! INFORMATION WILL BE STORED OFF SITE IN A SECURE LOCATION. INFORMATION WILL NOT BE STORED IN A DIGITAL FORMAT OR ON A CLOUD, ALL INFORMATION WILL BE STORED IN A HARD COPY FORMAT OFF SITE.

WE APPRECIATE YOUR CO-OPERATION AND TRUST. 

© Red Eye Delivery 2018