Research: State law requires i-Health to inform you that your medical record may be released for research purposes unless you deny this release. The researchers cannot use patient identifying characteristics when reporting any results of their research. Please indicate below if you accept this request.

I authorize i-Health to verbally communicate with a designated individual regarding my care.

I understand that during my visit, my friends, family, employers or others may call to inquire about my presence at an i-Health facility. I authorize i-Health to disclose information about my presence at this facility.

To facilitate the communication of test results and other information, I authorize i-Health to leave confidential information on my voicemail if the providers and staff are unable to reach me directly.