Forms
New Patient Forms
Please download and bring the completed form to your next visit.
-New Patient Registration
-Patient Update
Other Forms
Notice of Privacy Practice regarding Health Information Exchanges
Abco Medical Center, LLC participates in one or more Health Information Exchanges. Your healthcare providers can use this electronic network to securely provide access to your health records for a better picture of your health needs. We and other healthcare providers may allow access to your health information through the Health Information Exchange for treatment, payment, or other healthcare operations. This is a voluntary agreement. You may opt-out at any time by notifying the Office Manager at Abco Medical Center, LLC by calling 216-226-2626, or by downloading the form below.
If you would like to opt-out of the CliniSync Health Information Exchange please download and bring the completed form to your next visit.
-Request to Change Consent for Health Information Exchange