Required for Registration

Release of Information

This is not a mandatory form.  Just complete if you need one of the following:
  • You seek care at Curry Health Center and need previous health records sent to Curry Health Center.
  • You want Curry Health Center to send your health records to another location.
  • You want to give Curry Health Center staff permission to talk to someone about your health condition (like parents). 
  • Authorization for Release of Health Information