Broken Arrow Family Practice Center
Dr. Holte cares . . .
for the whole family!
 

MEDICAL RECORDS

PRIVACY POLICY & MEDICAL RECORDS

Broken Arrow Family Practice Center is committed to providing you with the highest standards of healthcare respecting both your privacy and your time.

For more detailed information about the HIPPA law, please click on the link below.

View HIPPA Privacy Summary (Requires Acrobat Reader)

Please allow 7-10 days when requesting Medical Records.

There is no charge for records sent to treating physicians. Records copied for patients will be charged the same as for any other individual as stated below.

Records sent to attorneys, insurance companies and individuals may be charged $1 for the first page, 50 cents for each additional page and require a signed release from the patient.� Please click on the link below to obtain a copy of the release form.

Authorization for Disclosure of Protected Heath Information (Requires Acrobat Reader)

Patient Forms are in Adobe Acrobat format. You may click on any of the documents and view or print. The free Adobe acrobat reader is required. If you do have Adobe on your PC, you may download it by clicking on the icon below.

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