Forms

Patients will find the following forms helpful:

Medical Records Release Request Form

About the Medical Records Release Request Form: The “Medical Records Release Request Form” is very important if you are transferring your care from another provider to the care of a provider in our office. This form needs to be completed by you, the patient, and given to your current provider for their signature. Then the form needs to be given to your new provider for their records.

Notice of Privacy Practices

About the Notice of of Privacy Practices: The “Notice of Privacy Practices” tells our patients how we use their information and how we protect their privacy.