Patient Forms

Request to Disclose Health Record

Please download and use this form if you would like South Cove to send your medical information to either yourself or other third parties.

Instructions are provided on the form

要求披露健康記錄信息

(中文版)

如果您想華人醫務中心將您的醫療資訊傳送給你本人或第三方,請下載並填寫此表格。表格上已提供了說明
Request to Obtain Health Record

Please download and use this form if you would like another provider to send your medical information to South Cove.

Instructions are provided on the form