HIPAA (Privacy)

Under HIPAA regulations, we (provider) are required to provide you (patient/responsible) HIPAA-compliant consent forms.

These forms authorize us to release your child’s clinical records for one or more of several reasons:

  • To other providers for continuity of your child’s care
  • To legal entities under a specific use authorization signed by you or under subpoena by a court of law
  • To insurance carrers considering your child’s insurability to provide future health coverage.
  • And, to specific entities for specific uses, under specific authorization signed by you.

You are allowed to change or limit your consent at any time.

HIPAA forms