• Authorization to Release Medical Information

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  • Health care regulations require that the interdisciplinary health team work under the orders of the participant’s personal physician(s). Participant information is shared with personal physicians and other care providers as required by law.

    ElderConsult strives to provide the highest quality of care to our clients. In order to do so, we consult with participant’s families, physicians, insurance companies and other community professionals. In all cases, the purpose of these consultations is to enhance services to our clients. All professionals are bound by the guidelines of their professions to protect the participant’s confidentiality.

    In order for us to release information that you have shared with ElderConsult or to exchange information with parties other than your personal physician, your specific authorization is required.

  • If confidential information is requested or needed from individuals not mentioned above, written permission to release specific information will be requested from the participant at that time.

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  • v.9-2020 ­— Authorization to Release Medical Information

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