In case of an emergency or in the event you are unable to speak for yourself, your Physician and their staff must know who they can call for direction or to share information. If we need to give information from the office, we must have a signed “Authorization for Disclosure of Health Information” which names who we can talk to on your behalf. This form is available to be printed in our “Printable Forms” section or by clicking here.
If there needs to be decisions made at a hospital or facility, then we must have a signed “Health Care Proxy” stating that a designated person or people know what your wishes for care are. This form is available to be printed in our “Printable Forms” section or by clicking here.