Notice of Privacy Practices [pdf 93KB]
This Notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
HIPAA & Patient Information
The following Alere patient forms are available as downloadable pdf's for your convenience:
Request for Health Information [pdf 117KB]
This form is used when a patient wants to request a copy of his/her own medical record.
Authorization for Disclosure of Protected Health Information [pdf 126KB]
This form is used when a patient want to share his/her own medical record with someone.
Request for Amendment of Health Information [pdf 105KB]
This form is used when a patient wants to make changes to the information in his/her own medical record.
Request for an Accounting of Disclosures [pdf 117KB]
This form is used when a patient wants an accounting of disclosure for his/her own records.
Request for Restriction and/or Confidential Communications [pdf 117KB]
This form is used when a patient wants to add special restrictions on his/her medical information or communicate via an alternative means of communication.