1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1spine 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1scoliosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis 1kyphosis v 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery 1spine surgery
blank
blank
TaiwanSpineCenter
Print Media
blank
blank
 
blank
blank
  Initial Visit
line
  Surgical Service
line
  Prescription Policy
line
 
Medical Record Administration
line
 
Financial Information
 
 
 
 
 
:::
blank
icon Now:Home page > Appointment > Medical Record Administration
icon

Back





*

Medical Record Administration

*

 

A Release of Information Authorization Form is used by an individual to consent to the release of his or her medical records/films to a new or different physician, to assist in a job application or when applying for certain insurance. A parent or legal guardian may also fill out an authorization to consent to the release records. An individual acting as an attorney in fact through a power of attorney may also use this form.

To protect the patient's privacy, the law permits disclosure of information only if the patient (or his or her legal representative) consents in writing or if the law otherwise permits it.




blank
  icon

Top

blank
blank