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Release of Information
Your medical and financial information is strictly protected above and beyond the requirements of the Health Insurance Portability and Accountability Act (HIPAA). In order to provide the best possible care, it is often helpful to coordinate your treatment with other physicians and mental health providers involved in your care. This form facilitates the transfer of information between providers involved in your care.
© 2019 by Shannon Easton-Carr, M.D., Inc.
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