Authorization for Release of Verbal Communication AND Exchange of Written Information
File: Authorization-for-Release-of-Verbal-Communication-AND-Exchange-of-Written-Information-UWH302451-DT.pdf
Authorization for Verbal Communication and/or to Leave Voicemail Messages
File: Authorization-for-Verbal-Communication-and-or-to-Leave-Voice-Mail-Messages-UWH302443-DT-1.pdf
Authorization for Disclosure of Protected Health Information
File: Authorization-for-Disclosure-of-Protected-Health-Information-UWH1280490-DT-1.pdf
What Authorization Form to Use
File: What-Authorization-Form-to-Use.pdf
Please complete this form prior to your first appointment
File: Adult-New-Patient-Form.pdf