POLICIES


NON-DISCRIMINATION POLICY

It is the policy of Gastroenterology & Hepatology Institute of Nevada to treat all patients and not to discriminate on the basis of race, color, religion, national origin, age, sex, sexual orientation, gender identity or expression, disability, veteran status, or any other basis prohibited by federal, state, or local law

 

PRIVACY POLICY

AUTHORIZATION FOR ACCESS TO MEDICAL RECORDS:

We require a written authorization form, duly signed by the patient, for the release of medical records (Protected Health Information) to anyone – physicians, family members, caretakers etc. A valid ID is required for anyone who comes to pick-up records from our office.

Below, please list the individuals that you would like to have access to your health information. You can include family members and any physicians who are involved in your care.  This serves as a written consent to release records to those listed below. You may revoke the right you have given the individuals listed below AT ANY TIME. 

 

 

 

 

 

Patient Name:

Date:

 

 

Leave this empty:

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Rajat Sood M.D. http://www.rajatsood.com
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Document name: POLICIES
lock iconUnique Document ID: 86b597a614cd47c75a4ef5367b6d524a4f3b3af4
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April 21, 2020 1:51 am PDTPOLICIES Uploaded by Rishawn Newman - rnewman@rajatsood.com IP 68.96.239.191