• Authorization for Release of Medical Records Form
  Use your computer's keyboard to fill out each field then print and sign the form before submitting it to HFP in person or via fax or postal mail.  Please fill out completely to avoid delays. You will be contacted when records are ready and notified of any records  reproduction and optional postage costs pre-payment required. 
   

• Authorization to Discuss PT Billing and/or Medical Issues Letter
  Print the form, then fill it out completely before submitting it to HFP in person or via fax or postal mail.

Note: Form and letter signatures are verified against patient registration forms.  If the patient's (or minor's parent or guardian) signature is not on file, we ask that the person signing the form or letter come in person to sign, bringing  a signed photo ID.

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