Medical Records & Release of Information

We maintain strict confidentiality of the information contained in your medical record. To assure this confidentiality, information contained in your medical record will not be released to anyone without your written permission. We follow all HIPAA regulations regarding handling patients’ protected health information. You will be given a copy of our privacy practices at your first visit with us.

If you will need a family member to call us on your behalf to discuss your medical condition, you must list that person on your registration forms that will be completed at your first visit here. We will be unable to discuss your medical condition or test results with anyone who is not listed on this form.

Authorization for Release of Protected Health Information (Word Document)
Authorization for Release of Protected Health Information (PDF)