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Caris Cohen Dx is happy to send slides to outside institutions when the patient’s follow-up care mandates.

In an effort to streamline the process of releasing a patient’s medical materials for continuing care, we have modified our policies. We no longer require patients or their referring physician to sign the “Authorization for Release of Medical Information” form. Instead, we have devised a new “Request for Medical Materials” form. This form can be completed and signed by the patient/guardian, the patient’s referring physician or the physician requesting the material.

Previously we did not accept requests that were signed by parties other than the patient/guardian or the referring physician. By completing the form on behalf of the patient, the requesting physician (or the patient care coordinator) must attest that s/he has been authorized by the patient to receive the material. We will not accept a form that does not contain a signature and legibly printed name.

Our preferred method remains to secure the patient’s signature on our form, but we hope this new flexibility will facilitate the patient’s continuing medical care in circumstances where time is of the essence.

All packages will be sent via UPS Ground service, at our expense. UPS Ground service guarantees delivery within 1-5 business days. If you require expedited service, please contact us to make alternative arrangements.

Patients are also welcome to pick up their slides at our office and can complete a request form in-person when they arrive to pickup the slides. We request that all patients provide at least two hour’s notice when coming in to pick up slides.

A link to our new “Request for Medical Materials” form appears at the bottom of this page. We regret that we cannot utilize an electronic communication form via the Internet since a signature is required. Instead, you may print out the form and return it to us via fax or US Mail:

CARIS COHEN Dx FAX
617.969.3393

CARIS COHEN Dx MAILING ADDRESS
320 Needham Street
Suite 200
Newton, MA 02464

If you have any questions about the new policies, do not hesitate to contact Elysia McGowan directly by phone (857-229-1506).

Thank you for your accordance with our new policies; we are proud to be your partners in patient care.

Caris Cohen Dx, 320 Needham Street, Suite 200, Newton, MA 02464.

Slide Request Form

 
   
   


320 Needham Street, Suite 200, Newton, MA 02464
TEL 617.969.4100 • FAX 617.969.3393
EMAIL info@cariscohendx.com

Copyright © 2008 Caris Cohen Dx. All rights reserved.

 
     
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