Privacy / Information Release

Privacy / Information Release

Your privacy is very important to us.

  • We are unable to release any information regarding healthcare, appointments, billing or insurance information to your spouse, parent, family members, significant others or friends without written authorization from the patient. 
  • If you would like us to speak to anyone other than yourself regarding any of these issues, please print the medical release to family member form and return it to our office. 
  • Patients over the age of 14 years must sign for themselves.