Thank you for visiting our website. We are complying with the State of California "Safe at Home" order and are not fully staffing our office in San Bernardino. We have employees working from home to answer your questions and our Consultants are still on line. We will still be conducting webinars. Please contact us at help@corcoranccg.com or leave a voicemail at (800) 399-6565. We will be respond to your inquiries as soon as possible.

Glasses Signature on File Form

This is the Signature on File, Assignment of Benefits, Release of Information Form for Optical Dispensaries. Click here to download as a PDF, here to download as a .doc, or here to download as a .docx.

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