Patient Forms, Consents and Telemedicine/Telehealth Guidelines

Hipaa and Privacy Policy

HIPAA and office Privacy Policy

Consents to care and sharing medical information

This is a separate addition to what you signed in the patient portal. I usually need specific consent in order for me to share your medical information with someone other than your medical team. In addition, in Washington State, there are specific laws around privacy, specific categories of health care with teens/adolescents. Please read the article from Seattle Children’s in this section to get an overview of those laws. Thank you.

Consent to Share Medical Information with specific people, ie spouse, parent, friend

Teen/Adolescent Consent to Care and Washington State laws additional information – source Seattle Children’s Hospital

Record Releases

Record Release to gather records from other providers

Record Release from Dr. Litov to be sent to patient or other providers

Home Medical Equipment List

List of Recommended Home Medical Evaluation equipment

Telehealth/Telemedicine General Guidelines for our office

Telehealth/Telemedicine guidelines and information

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