Orthopedic Institute / Insurance Information / Release of Verbal Information

Contents

Release of Verbal Information

Before we can speak to anyone requesting information on a specific patient, we need the patient’s permission to speak to someone on his/her behalf.
This form also allows us to talk someone other than the patient regarding upcoming appointments, billing questions and treatment options.

 

This document requires Adobe Acrobat Reader to open.
Click here to download a free copy