HIPAA Notice of Privacy, SC (pdf)
DownloadPlease complete the following forms prior to your first visit. A Google account is not required. These Google Documents are secure, encrypted, and HIPAA compliant.
Prior to your first visit, please download and complete the Billing and Disclosure forms below.
If specifically discussed, please complete the Release and Exchange Healthcare Information form.
INSTRUCTIONS:
1) Download form(s). 2) Print and complete by hand. 3) Scan or take a picture with your phone.
4) Click here for MedTunnel to send a secure message and attach the form(s). *
*Two attachments are allowed per message.
5) Finally, please upload a picture of your current insurance card (front and back) and Driver License using our "Click here for MedTunnel" link.
Please do not send these forms via email since most email is not HIPAA compliant, and you risk having your information seen by others.
Click here to complete the Social Anxiety Group Survey form. This Google Document is secure, encrypted, and HIPAA compliant.
MedTunnel is a secure portal for messages and documents.
My email is HIPPA compliant, which is the highest level of security you can get online (Sadly, nothing online is 100% secure). However, most individuals do not have HIPAA compliant emails. If they did, then both ends would be secure, and there would be greatly reduced possibility of anyone intercepting and reading that data. However, if it is not secure on both ends (your email, and mine) than it is not secure at all. So, to provide a secure means of getting in touch with me, I use MedTunnel. You do not have to create a MedTunnel account, but you can if you plan to use it to communicate with me about significant issues, instead of using email.