HIPPA Authorization for Use or Disclosure of Health Information

Why We Ask for It

Your privacy matters. 

Before or during your treatment, our TeamCare may need to review your past and current medical records to give you the safest, most effective care.

To do this, we ask you to complete a HIPAA Authorization Form. 

This form gives your permission for our providers to request and receive your health information from other doctors, clinics, hospitals, or therapists who have treated you.

Why it’s important

It allows our TeamCare to fully understand your medical history before starting treatment

It ensures we have complete and accurate information to create your personalized care plan

It helps us coordinate with your other healthcare providers for seamless care

It avoids repeating tests or missing important details that could affect your treatment.

What you control

You decide what information we can request

You choose which providers or facilities we can contact

You can cancel this authorization at any time by telling us in writing

Click HERE to access the HIPAA Authorization for Use or Disclosure of Health Information.