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Health Information Disclosure

Authorization Form
Download the Authorization to Disclose Health or Billing Information Form.
A patient may choose to authorize disclosure of their health or billing information to a third party.

You Have the Right to Release Your Personal Information

Under federal law, Novant Health Thomasville Medical Center can only release your personal health information to those directly involved with providing your care. However, you have the right to grant access to your personal medical or billing information to other individuals or organizations of your choice. If you choose to do so, we require a written authorization.