Allergy, Asthma, and Immunology of North Texas, PA
Matt Morgan, MD 972-540-0777 972-569-8500
2770 Virginia Pkwy Ste 201

Privacy

Guidelines and Forms

Each new patient is required by federal law to review the privacy policy in place for a health care office. To avoid confusion, we have adopted a conventional, standard version of this form, so that it should be similar to policies and forms of other health care settings in Texas. Normally, new patients must receive, review, and sign a form on each visit to a different doctor.

HIPAA (Privacy) Form

For your convenience, the HIPAA privacy form is available online. By clicking on the icon below, you may print the last page (5) and sign it on paper before your visit. Then simply bring that signed last page on your first visit, which can shave off some valuable time.

Please select to display or download the form in a new page or tab.

HIPAA.pdf


Transfer of Medical Records

Another frequently encountered issue involves transfer of medical records, either to us from another office or from us to an outside hospital or clinic. This form is provided here for you to download.

You may also verbally request for us to send records to another doctor from our office, as long as you have an established relationship with and valid medical purpose for the recipient of our records.

Please note that many offices are unnecessarily strict and will not provide the same courtesy. In that case they will require you to request movement of records in writing. You may use our form or theirs for this purpose. Finally, use any of the contact methods described on Reaching Us to send the completed form, in accordance with our Terms of Use.

Please click to display or download the form in a new page or tab.

Transfer.pdf


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