OFFICE POLICIES:
In this section you will find information and links for our Office Policies. Some of these are forms you can fill out on-line prior to your appointment. You will have the option of e-mailing these completed forms to us for your later signature when applicable, or print them out to bring with you.
• Policies and forms for Health Insurance Portability and Accountability Act (HIPAA):
Accomodating Reasonable Requests for Confidential Communications. View or Print.
Accounting of Disclosures. View or Print.
Authorization to Release Health Care Information. Click here to fill out & Print.
Business Associates. View or Print.
HIPAA Authorization Form. Click here to fill out & Print.
Notice of Privacy Practices. Click here to fill out & Print.
Patient Amendment of Records. View or Print.
Patient Privacy Complaints. View or Print.
Privacy Officer. View or Print.
Release of Information under Authorization & under Permissive Disclosure. View or Print.
• Financial & Prescription Policies:
Financial Policy. Click here to fill out & Print.
Prescription Policy. Click here to fill out & Print.
Patient Guide | Prior to Visit Forms | Information Forms | Health Library
