RELEASE OF INFO


HIPAA law requires a release of information to be completed for patients 18 and over for medical information to be released to anyone besides themselves. If your child is preparing to turn 18 in the next year consider having this completed prior to their birthday so we have it onfile.

You may access the ROI form on our website under the forms section or in the office. As well you may email or fax the form into our office for your convenience.

Minors are able to have a release of information completed regarding certain tests and labs results. If pertinent to an exam or treatment the provider will direct the patient to have a release of information completed.