Release of Health Information

Collaborative Health Partners (or CVFP Medical Group) has partnered with Sharecare to fulfill your requests for records. We are committed to protecting your medical information. For information about your rights and the obligations you have regarding the use and disclosure of your medical information, please see our Notice of Privacy Practices. If you are our patient and would like to request your medical records, please click on the link below to complete your request for medical records. You will be required to provide a valid email address and a government-issued ID.
Request Link
View Request Portal User Guide
Check Status of Open Request

Authorization for Release of Medical Information (PDF)

Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility. Autorización De HIPAA Para Divulgar Información Del Paciente

Authorization and Consent for Treatment (PDF)

All patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility. Autorización y Consentimiento Para el Tratamiento

Preferred Contacts (PDF)

Allows patients to indicate person(s) with whom information can be shared. Contactos Preferidos

Consent for Medical Treatment of Minor (PDF)

Allows parent(s) or legal guardian to authorize care for their minor child(ren) in their absence.

Student Fee Acknowledgement Form (PDF)

*All other relevant forms can be completed at the office in advance, before your visit.