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What to expect when you check-in:
To protect you and your identity, our front office staff will ask for your photo identification (i.e. driver’s license, passport, military ID, etc.) and insurance cards for each visit. You will also be asked to have a photo taken for your medical record, if one is not already on file.
Patient identification and insurance verification is necessary to:
You will also be asked to complete and/or update patient forms. This helps to ensure that we have accurate information and helps you to identify changes in your health history.
(Note: Notice of Rights & Responsibilities will be provided verbally upon check-in)
Complete this form to obtain copies of or authorize the release of your medical records. This authorization is voluntary and may be revoked at any time.
Complete this form to authorize us to communicate your Protected Health Information (PHI) with a family member, caregiver, or other designated representative. This authorization is voluntary and may be revoked at any time.
If you have questions regarding the following documents, please contact our Medical Records department.
p: (208) 489-1837 f: (208) 375-5286
This form is HIPAA compliant
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