GI Procedure Prep Instructions
Make Check-in a Breeze
Save time at the clinic. Download the forms you need before your visit and you’re ready to go.
Patient Authorization Forms
Patient Health Information Forms
Complete and print the following form(s) to request your medical information be sent from Hudson Physicians or to another healthcare facility. The form can be mailed, faxed or dropped off at Hudson Physicians.
Authorization for Use and Disclosure of Patient Health Information
The link will take you to a secure external site (MailHippo). Once you complete and electronically sign the form, it will be sent directly to our Medical Records Department for processing.
- Use this form to have your medical records sent to Hudson Physicians
- Use this form to have your Hudson Physicians' medical records sent to another healthcare facility
Helpful Tips:
- For security purposes, you will need to verify your email address. Enter your email when prompted, click “Continue,” and then enter the verification code sent to you. (Please allow a few minutes for the emailed code to arrive.)
- All sections of the form must be completed. If any required information is missing, the form will be returned to you via email with instructions for completion.
If you have any questions or need assistance, please don’t hesitate to contact us.
Authorization for Access to Patient Health Information
- Use this form to authorize permission to discuss health information, request medical records, create and change appointments, discuss billing, and other.
