At The Vascular Group, your protected health information (PHI) is any information we create or receive that relates to your past, present or future health care, condition or treatment. This includes both your medical information and identification information, such as your address, workplace, social security number and other similar personal information. PHI includes information that is written, such as your medical chart, or stored in computers, such as billing data or images.

The Vascular Group physicians and staff are committed to safeguarding the confidentiality of your protected health information. We will use and disclose that information only as described in our Notice of Privacy Practices.

The Vascular Group’s Notice of Privacy Practices explains this protected health information and how The Vascular Group may use or disclose your information. The Notice also explains your rights with respect to your PHI and includes the contact information for our Privacy Officers.

Medical Record Release Forms

The forms below include a HIPAA compliant release forms that give you authorization to allow the Vascular Group to release your full medical record and/or specific medical information for your own personal use, legal purposes, employment related issues, and your continued health care. Please complete the form appropriate to your situation.