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We make every effort to ensure that all patient records are kept
confidential. Our employees are prohibited from looking at patient
records unless they are to provide services to our patients. All
electronic billing complies with privacy provisions of federal law
(HIPPA).
In an effort to make your visit to our offices as efficient as possible
we have made forms available to you through our site so you can
compete them prior to your appointment. If you would like, please
print off the following documents, complete them, and bring them
to our office on the day of your appointment.
» Consent
for Use & Disclosure of Medical Information
» DCR
Surgery Center Health Questionnaire
» Dayton
Colon & Rectal Center - Patient Info Sheet
» DCR
Center Consent for Surgery
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