Medical Release
HIPAA Privacy Authorization Form
**Authorization for Use or Disclosure of Protected Health Information (Required by the Health Insurance Portability and Accountability Act, 45 C.F.R. Parts 160 and 164)**
Location
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Office Hours
Our Regular Schedule
Monday
Closed
Tuesday
9:00 am - 5:30 pm
Wednesday
9:00 am - 5:30 pm
Thursday
9:00 am - 5:30 pm
Friday
9:00 am - 12:00 pm
Saturday
9:00 am - 12:00 pm
Sunday
Closed
Monday
Closed
Tuesday
9:00 am - 5:30 pm
Wednesday
9:00 am - 5:30 pm
Thursday
9:00 am - 5:30 pm
Friday
9:00 am - 12:00 pm
Saturday
9:00 am - 12:00 pm
Sunday
Closed
