OHS ► Authorization For Use or Disclosure of Protective Health Information Form

If you need a record of your protected health information (PHI), please download, print and complete this form and present it to our office.

Authorization For Use or Disclosure of Protected Health Information form

Also, don’t forget to bring your government issued photo ID to our clinic when you pick up the official copy of your medical records.

*We do not email or fax Protected Health Information (PHI).

 

►You can also sign up for MyChart to access your medical records directly. 

Última actualización August 29, 2023