Authorization to Release Medical Records:
To request the release of your protected health information, please visit the “Update My Information” section of this website to fill out the secure form online. Or, you may print out a copy of the Authorization to Release Medical Records and mail or fax it to our office.
Notice of Privacy Policies for OB-GYN Associates of Montgomery
THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
At OB-GYN Associates of Montgomery, we are committed to treating and using protected health information about you responsibly. This Notice of Health Information Practices describes the personal information we collect, and how and when we use or disclose that information. It also describes your rights as they relate to your protected health information. This Notice is effective 3-31-03, and applies to all protected health information as defined by federal regulations.
Click the image below to view the policy.