About Patient Information
From time to time, information about your treatment may--with your authorization--be shared with other clinicians or insurance providers. The forms below can be used for such authorizations.
Authorization to Release Information
This form, when completed and signed by you, authorizes Woodland Professional Associates to release protected information from your clinical records to another doctor or insurer.
release.93748pdf1.pdf | |
File Size: | 53 kb |
File Type: |
Authorization to Obtain Information
This form, when completed and signed by you, authorizes another doctor or clinician to release protected information from your clinical records to Dr. Patricia Kincare.
release.93748_pdf_2_.pdf | |
File Size: | 53 kb |
File Type: |