Nova Southeastern University Cypress Creek Dental Center 1201 West Cypress Creek Road, Suite 201 Ft. Miami Beach Campus) Dental Health Care Center 1750 NE 167th Street N. Nova Southeastern University (Main Campus) Dental Health Care Center 3200 S. The telephone number for each NSU Health Records Department is listed below for your convenience. Our Health Records Department staff will be happy to assist you with any questions you may have regarding the Authorization Form. Unsigned requests will not be processed, and failure to provide all the information may invalidate the request. Please be sure to complete all sections on the Authorization Form, including your signature. To start your request, simply download, print, complete and sign the applicable NSU Health Authorization for Use and Disclosure of Protected Health Information Form (“Authorization Form”) listed below. Obtaining a copy of your health records, or having your health record sent to another health care facility, is easy. How to Start a Request for Your Health Records You or your personal representative will be required to complete and sign an Authorization for Use and Disclosure of Protected Health Information Form before the NSU Health releases your health information. You or your personal representative may inspect and/or obtain a copy of your health records or have copies of your health records sent to another health care facility. NSU Health is committed to safeguarding your health information. ** *Benefits:* We offer an excellent base salary, full benefits package including matching 401k with immediate vesting, group medical, dental, vision, life, and short-term disability insurance and PTO.While health care can bring up a lot of questions, protecting your privacy shouldn't be one of them.
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