PHI Consent
Please complete the Consent for Use & Sharing of Patient Health Information (PHI) form and bring in with you for your appointment.
Please complete the Consent for Use & Sharing of Patient Health Information (PHI) form and bring in with you for your appointment.
All minor’s under the age of 18 must be accompanied by a parent or legal guardian. Existing Patients may be seen without a parent or legal guardian present with proper consent.
To request a copy of your records, please complete the following form. You may upload the completed request via the Patient Portal, or email/fax it to the office.