Make an appointment with us today! 334-613-0807
FORMS
Policies and Patient Forms
New Patient Paperwork
New Patient Paperwork
Authorization Forms for Release and Disclosure of Information
HIPAA Privacy Authorization Form
HIPAA Authorization to Disclose Medical Records
Amendment and Patient Rights Forms
HIPAA Amendment Request Form
HIPAA Request for Patient Rights Form
Financial Policy
SCC Financial Policy
Appointment Policies
SCC Missed Appointment Policy
Nuclear Appointment Agreement Form
Lipid Management Guidelines
Lipid Guidelines
Notices of Private Practices
Privacy Policy
ADDRESS
Montgomery Office
2055 E. South Blvd. Suite 403
Montgomery, AL 36116
Prattville Office
New location coming soon!
