Medical Information Release

YOUR PRIVACY MATTERS

In order to assure the quality and continued coordination of care provided to you, all of your health care providers must have communication regarding the status of your care. Because your medical record and any information pertaining to your treatment or service is held in the strictest of confindence, we must have your permission prior to releasing your medical information to anyone. In order for us to communicate to your doctor, nursing agency, pharmacy, insurance company, state/federal accrediting and quality organizations and other agencies involved in your medical care, we require your written permission.