HIPAA (Privacy)


Under HIPAA regulations, we (provider) are required to provide you (patient/responsible) HIPAA-compliant consent forms.

These forms authorize us to release your child’s clinical records for one or more of several reasons:

  • To other providers for continuity of your child’s care
  • To legal entities under a specific use authorization signed by you or under subpoena by a court of law
  • To insurance careers considering your child’s insurability to provide future health coverage.
  • And, to specific entities for specific uses, under specific authorization signed by you.

You are allowed to change or limit your consent at any time.

HIPAA forms

Grossmont Pediatrics
6942 University Avenue, Suite A
La Mesa, CA 91942
Phone: 619-698-2184
Fax: 619-698-2084
Office Hours

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