Patient Resources

 

Living Will (Directive to Physicians and Family or Surrogates)
Medical Power of Attorney



HIPAA

In accordance with our commitment to patient privacy and confidentiality; Pro Healthcare Clinic follows the Health Insurance Portability and Accountability Act (HIPAA).

According to HIPAA, patients have rights concerning the use of individually identifiable health information. Only individuals with a legitimate need to know can access, use, or disclose patient information. Protected health information can be released to other covered health care providers without patient authorization if used for treatment, payment, health care operations, or public good purposes as permitted by state and federal laws.

Disclosures of protected health information for uses and disclosures outside treatment, payment, and health care operations require patient authorization. Please complete this form and submit to clinic staff, if needed. forms
Patient Registration
Patient History
Receipt and Notice of Privacy Practices (HIPPA)
Authorization for Release Information
Patient Financial Responsibility
 

Patient Rights

 
Patient Bill of Rights and Responsibilities
Patients have the right to: