Patient Confidentiality & Privacy
These forms are for printing only. They can then be filled in and mailed or faxed to the appropriate agencies.
![](https://cdn.prod.website-files.com/659f40382d7577753a0c7fff/659f40382d7577753a0c8078_Group%205.png)
These forms are for printing only. They can then be filled in and mailed or faxed to the appropriate agencies.