Medical Records Request

Proliance Surgeons/OPA values your business and respects your rights to privacy. Each employee and service provider has signed a confidentiality agreement. You will be asked to give private information including name, address, date of birth and social security number. We will verify insurance information at each visit. Many insurance companies are moving away from using your social security number on your cards to be safer. However, you should be aware that information is still required on our billings and will be requested. We can not serve you if you do not provide this information. In addition Proliance/OPA follows all current HIPAA regulations to assure that your private medical information remains confidential.