TrufaMED HIPAA & Privacy Authorization

Authorization to Share Health Information: I authorize TrufaMED Urgent Care to use and share my protected health information (PHI) for the purposes of treatment, billing, care coordination, and internal healthcare operations. This may include communication between medical providers, insurance entities, and approved third parties.

Consent to Private Electronic Communication: I understand and consent to TrufaMED communicating with me via phone, secure email, or text message. I acknowledge that while safeguards are in place, no method of transmission is without risk.

Patient Rights & Privacy: I have the right to review and request a copy of TrufaMED’s full Notice of Privacy Practices, outlining how my information may be used or disclosed. I may revoke this authorization at any time in writing.

Website & Digital Information: I understand that any information I choose to submit through this website or digital intake forms may be securely stored and used in accordance with HIPAA guidelines and TrufaMED’s privacy practices.

Acknowledgment: By continuing, I confirm that I have reviewed this information, understand my rights, and voluntarily authorize TrufaMED to proceed with the outlined privacy terms.