Notice of Privacy Practices
How health information is used and disclosed, your privacy rights, and how to raise a privacy concern. Revised · 4 pages.
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Notices & forms
Find information about your privacy, records, care, and billing, along with the forms you may need.
Need help finding or completing a form? Call (303) 770-6933. Please use the appropriate records or grievance form for those requests.
Privacy & agreements
Disclosure & Agreement
Review the existing Creekside disclosure and agreement document. PDF · 5 pages.
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The existing printable authorization form for releasing information. PDF · 2 pages.
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How to Request Medical Records
Instructions for requesting records, response timing, copies, and applicable fees. Revised · 1 page.
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Complete the existing online authorization and records-request form.
Open form: Request Medical Records — opens in a new tabConcerns & feedback
How to File a Grievance
Existing instructions and contact information for raising a concern. PDF · 1 page.
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Use the existing grievance form to share a concern with Creekside.
Open form: Submit a Grievance — opens in a new tabFeedback for Your Provider
Share feedback about your experience using the existing client feedback form.
Open form: Feedback for Your Provider — opens in a new tabCosts & billing
Your Right to a Good Faith Estimate
Read the existing notice about estimated costs when you are uninsured or paying without insurance. PDF · 1 page.
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Updated estimate information, billing-dispute information, and an individual estimate worksheet for your provider to complete. Revised · 2 pages.
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