HIPPA

Complete the 2021 HIPPA consent. Ensure you mark anyone you may want to have access to your records or communication of your care within the document. Most popular additions are Spouses, Adult Children, or caregivers that assist you with daily living.

Please feel free to call or ask our staff any questions you may have in completing the form. Once completed, please save the form and email completed form to completehealthexperience@gmail.com.

Download HIPPA Consent Form