Medical Records Request Form
If you would like to have your previous medical records sent to our office, please print and complete the following form so that we may request your records.
Notice of Privacy Practices: Brinton Lake Dermatology has a Notice of Privacy Practices, which describes how we may use and disclose your protected health information and how you can access your protected health information and exercise other rights concerning your protected health information. A copy of our policy may be reviewed upon your request.
Amendments: We reserve the right to change our Notice of Privacy Practices and to make the terms of any change effective for all protected health information that we maintain, including information created or obtained prior to the date of the effective date of the change. You may obtain a revised notice by submitting a written request to our Privacy Officer.
About Our Physician Assistants
We are a team of physicians, physician assistants and aestheticians devoted to the diagnosis and treatment of skin conditions and diseases. We work together to provide comprehensive care of your skin.
While you are receiving care in our practice, an appointment may be scheduled with a physician assistant (PA). If so, you will be told prior to your scheduled visit. Physician assistants are licensed by the Pennsylvania State Medical Board to practice medicine under physician supervision. PAs usually have a four-year undergraduate degree and then attend two years of graduate school to become a physician assistant.
FOR MORE INFORMATION ON OUR PHYSICIAN ASSISTANTS, PLEASE INQUIRE AT THE FRONT DESK.