Dr kelly dempsey sugar land tx demographics
Dr kelly dempsey sugar land tx demographics
Ogle county sheriff breaking news today!
Healthlynked Authorization Release of Information
First Name:
Last Name:
I, authorize Dr. Kelly S Dempsey to release any and all healthcare information about me to my HealthLynked personal health record (PHR) for my own uses and purposes.
I acknowledge that such healthcare information may include the following: x rays, clinical diagnosis, histories of present illnesses, immunizations, allergies, prescription drug information, laboratory results, diagnostic screening and testing, clinical procedures, medical research, clinical trials, billing, account, and insurance information.
I acknowledge that such healthcare information may include information regarding mental health screenings and/or treatment, including psychotherapy notes; HIV/AIDS, infectious disease, sexually transmitted infection testing, screening, diagnosis, and/or treatment; genetic testing; history of domestic violence, child abuse, and/or family abuse; and, substance/ alcohol use and treatment history.
I ac