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Release of Records
This is our patient release of records form. If you are establishing care with our office please use the one provided to you via the New Patient Packet and bring with you to establish care with our office.
Please use this if you need to have our office obtain records from any other medical providers you see.
HIPAA / Notice of Privacy Practices / Consent for Diagnosis and Treatment
Please review this Notice of Privacy Practices , Consent for Diagnosis and Treatment and HIPAA. Please note that this is included in our New Patient Packet.
Without this signed we are unable to allow friends or family members to schedule or cancel appointments, or receive any PHI on your behalf while over the age of 18.
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