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HIPAA Information

Release of Information

Should you wish to have your records sent to another office or would like a copy for yourself, we ask that you complete an Authorization to Disclose Health Information. On this form, you will indicate where you would like the records sent including the name of the person/place, fax number or mailing address. You will need to indicate what you would like sent. Please keep in mind that if it is more than 30 pages we will mail the records instead of fax. Should you wish to have your records sent to us from another office you can sign a release at the other doctor’s office or complete our Authorization to Receive Health Information.

Release for Ophthalmic Associates to Disclose Health Information

Release for Ophthalmic Associates to Receive Health Information

HIPAA Privacy Policy