General Forms File Notice Regarding Patient Protections Against Surprise Billing (PDF) File Notice of Privacy Practices (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) File Declaración de No Discriminación (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.
