Downloadable forms for our patients

To save time during your visit, you may download the required forms, print them out, fill them out, and then email or mail them to our office at the Oakhurst office address listed at the top of the page.  

HIPAA Privacy Forms

 

When you arrive in our office, you will be asked to sign a HIPAA privacy form to enable us to protect the privacy of your medical information. This can be done when you pre-register, or when you arrive at our office.  This form is where you can list names of people to whom we may release personal health information. 

The full HIPAA disclosure form is 9 pages long, and if you would like to read the entirety of the form, a link is below.   (We are required by law to offer this form in its entirety to you).

© 2020 by Atlantic Surgical Group

Atlantic Surgical Group, P.A.

Tel: 732-531-5445

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