Our notice of privacy practices at Lancet Rheumatology and Sara Lupus Clinic is outlined in the document below. Here you can find information pertaining to your rights as our patient, including your choices regarding the sharing of your health information; our uses and disclosures of your health information; and our responsibilities to maintain the privacy and security of your protected health information.
New Patient Forms
We request that all new patients please review and complete the forms listed below prior to arrival for their scheduled appointment.
- New Patient History Form
- Protected Health Information (PHI) Disclosure Form
- Privacy Notice Form
- Release of Health Information
- Patient Consent to Treatment and for Assignment of Benefits
Established Patient Forms
Established patients may review and complete the forms listed below to request access to their personal records and/or amend and make changes to their personal health information.