This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Patients may request a copy of their own medical and billing records by coming into the Administration Office with a valid photo ID and a completed Authorization for Disclosure of Protected Health Information. For more information contact Office Manager Teresa Weiss at email@example.com
Consumers may request a copy of public records by coming into the Administration Office with a completed Open Records Request. For more information contact Office Manager Teresa Weiss at firstname.lastname@example.org
These forms are available as downloads for printing.
This links to the Ute Pass Regional Health Service District Service Plan and amendments.
This links to the External Links Disclaimer page.
This links to the Board of Director Minutes and Notices.