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Lighthouse Family Medicine

A caring family taking care of your family...in a Christ-centered atmosphere.

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HIPPA Information and Forms
 

HIPAA forms are required for all medical practices, and this web site is the primary form of notice for this information.  Consent for these practices is implied by entering into a doctor - patient relationship at this practice.  For those who wish specifics on the finer points of the law you may download the appropriate forms and policies or read them on the sub-folders.  If you have more questions please do not hesitate to call our office for details. 

Forms

 - Lighthouse Family Medicine HIPPA Policy 

 - Exceptions to HIPPA Policy 

 - Consent to release medical information Form 

 - Verification of Disclosure Signature Form

  Lighthouse Family Medicine  6515 Colleyville Blvd.   Colleyville, TX 76034  (817) 424-3774   info@lighthousefamilymedicine.com