Signed in as:
filler@godaddy.com
Signed in as:
filler@godaddy.com
The process is pretty easy.
1. Due to HIPAA, you have to sign a form to release your information from your old clinic. We have releases below for MCHP and for other providers. Please fill in your name, date of birth and then sign & date at the bottom. You can only do one form per patient
2. Take this form to your old clinic and turn it in
3. Your old clinic will fax us your records and we will store them in your chart
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Our clinic be closed from June 7th through June 23rd.
We will reopen on June 24th.
Our provider will be out of the country during this time, so please be aware and submit any refills by June 3rd. We cannot guarantee refills while the provider is out of the country.