To reduce wait times during your first appointment, we are happy to offer you the option to register with our practice on-line. The link below will allow you to complete the registration in a secure electronic format.
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If you would like to authorize our office to release protected health information to a third party, please complete this form. Please ensure that you fill out all requested information, in particular we need complete contact information for the persons/practice/school that will be receiving the information.
Record Release Form (From our office to another provider)
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If you would like to authorize another office to release protected health information to us, please complete this form. Please ensure that you fill out all requested information, in particular we need complete contact information for the persons/practice/school that will be releasing the information. Please be aware, as this is a on-line form and an actual signature is not included, the releasing office may not accept this form. Please contact them directly with any questions.
Record Release Form (From another provider to our office)
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Access to Patient Portal
MyChart offers patients personalized and secure online access to their health care team and important information from their electronic health record.
Proxy Access is required for all dependent children. The forms required to authorize this access can be found here.