Patient Forms & Resources
Welcome to the Veritas Medical Group patient forms and resources page. Here you can find important documents to help you prepare for your visit or manage your health information. Please download the forms you need.
If you have any questions or require assistance, please contact our office:
Privacy Acknowledgement and Consent
This form is used to acknowledge that you have been offered our Notice of Privacy Practices. It also includes consent for treatment, payment, and healthcare operations, and allows you to specify your preferred methods for us to communicate with you. This is typically completed by new patients.
Purpose
This document ensures you understand our privacy practices and gives us your consent to provide healthcare services while protecting your health information according to HIPAA regulations.
How to Complete
• Download the HIPAA Notice of Privacy Practices Acknowledgement and Consent form below.
• Please print the form, fill out all sections completely, and bring it with you to your appointment.
• If you have any questions, please call us at (305) 315-8289 or contact us.
Medical Record Forms
Medical Record Release Form
This form allows you to authorize Veritas Medical Group to release your medical records to yourself, another healthcare provider, or a third party.
Purpose
Use this form when you need to share your health information with others involved in your care or for personal reasons.
How to Fill
Print the form, complete all required fields accurately, and sign it. You can submit the completed form to our office in person, by mail, or by fax.
Medical Record Request Form
Use this form to request that your medical records from a previous healthcare provider be sent to Veritas Medical Group.
Purpose
This helps ensure our team has a comprehensive understanding of your medical history to provide you with the best possible care.
How to Fill
Print the form, fill it out completely with the details of your previous provider, and sign it. Submit the completed form to our office, and we will initiate the request on your behalf.
Patient Bill of Rights
The Patient Bill of Rights outlines your rights and responsibilities as a patient at Veritas Medical Group.
Purpose
We believe in transparent and respectful care. This document helps you understand what you can expect from us and your role in your healthcare journey.
How to Use
This document is for your information. Please review it to be informed about your rights.