PRIVACY and YOUR RECORDS
Your medical records, created in this office, belong to this office. Information will not be provided to a third party (non-referring physician, attorney, insurance company or government agency) unless we have written authorization from you.
If you wish information about your condition to be provided to a third party, they should request the information in writing and provide us with your written and signed authorization. A processing fee is charged to cover the physician's time to review your record, preparation of the narrative summary, if requested, as well as the staff's time. You are responsible for this payment if the third party refuses to pay for this service. Information to any physician will be issued without a service fee.
There is a required pre-payment fee for the completion of disability, FMLA and AFLAC forms.
OUR COMMITMENT TO
West Shore Urology is dedicated to maintaining the privacy of your individually identifiable health information.