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Patient Forms

Release of Information

This form allows RGA to release the necessary information to your insurance provider. It also permits RGA to obtain medical records from your other physicians, including x-rays and hospital reports.

Release of Information

Privacy Notice

Protecting your medical privacy is one of the fundamental principles of the physician-patient relationship and of the utmost importance.

Privacy Notice

HIPAA Policy

At Rockford Gastroenterology Associates, protecting your privacy is a top priority. We strictly follow HIPAA regulations to ensure your personal and medical information remains secure and confidential at every step of your care.

HIPAA Policy


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