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Forms & Policies

Here is a copy of our office privacy policy.

Notice of Privacy Practices

This is a copy of Fiat Family Medicine’s Financial Policy.

Financial Policy

The form below can be used to authorize a designated party(s) to discuss your medical care with Fiat Family Medicine.

Privacy Form for Fiat

This form allows you to release your medical information to other offices either for continuation of care or transfer of care to another office. This must be signed to send documents to another office.

PHI Release of Information GENERAL