Patient Forms Posted on September 15, 2020 by Carolina Pines ENT New Patient Intake FormDownload Acknowledgment of Notice of Privacy PracticesDownload PHI Access RequestDownload Authorization for Release of PHIDownload PHI Accounting of Disclosures RequestDownload PHI Alternative Communications RequestDownload PHI Restriction RequestDownload PHI Accounting of DisclosuresDownload PHI Amendment RequestDownload HIPAA Request Fulfillment Time ExtensionDownload HIPAA Complaint FormDownload