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Submit Questions or Refill Requests
We are committed to providing excellent care for our patients. In order for us to assist you in the timeliest fashion, please use the form below to submit non-urgent questions, medication refill requests, or general inquiries. Responses via this form are faster (typically within 24 hours) compared to voicemails (48-72 hours).
How to Use This Form:
This form is for non-urgent questions (e.g., appointment clarifications, general inquiries) or medication refill requests from patients who have been seen by a GVI doctor.
Subject: Provide a short description of your request (e.g., “Refill request,” “Post-surgery question”). Maximum 100 characters.
Response: Include your full name, date of birth, and details of your question or request. For refills, provide the medication name, dosage, and pharmacy details. (note for website maker: Maximum 500 characters.)
Responses are not immediate and may take up to 24 hours. Do not use this form for urgent medical needs.
No Email or Visually Impaired? If you do not have access to email or have visual impairments, you may leave a voicemail at our main office number, available elsewhere on our website. Voicemail responses may take 48-72 hours.
Important Notices and Medical Disclaimer:
Emergencies: If you are experiencing a medical emergency, such as sudden vision loss, severe eye pain, or other urgent symptoms, call 911 or visit the nearest emergency room immediately. This form is not monitored 24/7 and is not intended for life-threatening issues.
Established Patients Only: We can only respond to inquiries from patients who have been seen by a Georgia Vision Institute doctor. If you are a new patient, please schedule an appointment.
Not Medical Advice: Information provided through this form or our website is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for medical concerns.
No Liability: Georgia Vision Institute assumes no liability for any loss, injury, or damage resulting from the use of this form or its responses. Information provided is general and not tailored to your specific medical history unless reviewed during an in-person visit.
Privacy: Your information is protected under HIPAA and our Privacy Policy. We use your data solely to respond to your inquiry and will not share it without your consent.