For your convenience, you can CHOOSE ONE of the first two forms below. All patients should also select the HIPAA Form (required by law), and Blue Cross patients should select that form as well. Complete the Patient Portal Registration if you would like to have online access to summaries of office visits, lab results, prescription refills, appointments and billing. Print them, complete them at home, and bring them with you to your visit. This will save you a little time when you arrive. Click on the appropriate choices. (The HIPAA and Blue Cross forms require only a signature; the Patient Portal Form asks for only a signature and email address).
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Other Documents you May find helpful:
Release form to request medical records from another provider TO US.
Release form to request medical records FROM US to another provider.