General Forms File Notice Regarding Patient Protections Against Surprise Billing (PDF) File HIPAA Privacy Notice (PDF) File Aviso Sobre Prácticas de Privacidad - HIPAA (PDF) File Right to Receive a Good Faith Estimate of Expected Charges Notice (PDF) File Disclosure of Physician Ownership (PDF) File Patient Rights and Responsibilities (PDF) File Notice of Non-Discrimination (PDF) Patient Release Form File HIPAA Authorization for Release of Protected Medical Records (PDF) Please email the completed ‘HIPAA Authorization for Release of Protected Medical Records’ to MedRecords4901@baldwincountysurgery.com.
