effective immediately:signed hipaa auth form required for app assistance!

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    • Home
    • Online Registration
    • Fees & Payments
    • Questions&Answers
    • Patient Drives
    • Patient Drive Sign In
    • PATIENT FEEDBACK
    • Contact Us
    • HIPAA Authorization Form
  • Home
  • Online Registration
  • Fees & Payments
  • Questions&Answers
  • Patient Drives
  • Patient Drive Sign In
  • PATIENT FEEDBACK
  • Contact Us
  • HIPAA Authorization Form

Due to regulations regarding 3rd party assistance, it is now required to complete a HIPAA/PHI Authorization Form before we can provide application assistance.  If you have any issues filling out the form below, please email us at support@integritypatientservices.com for assistance. 

please submit hipaa authorization form below


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  • Online Registration
  • Fees & Payments
  • Questions&Answers
  • HIPAA Authorization Form